All you need to know about DME and its billing.

1. All you need to know about DME and its billing. DME stands for Durable Medical Equipment. The equipment is used to assist patients in smooth body movement or to assist the body in its proper functioning. And DME medical billing services is what deals with billing for this equipment. With passing age or due to some accident, one may require assistive equipment to help them do things that seemed simple earlier. Small tasks such as climbing stairs or just standing up from a chair become difficult with the loss in body’s flexibility. A majority of old age adults have never used these kind of adaptive equipment, and navigating through this whole new world of insurance coverage, claims and equipment vendors can be overwhelming. Therefore, it becomes important to know about what exactly Durable Medical Equipment (DME) are used for.

2. What is DME? You must have witnessed patients moving with the help of wheelchairs, canes, walkers or might have seen some big machines beside patient beds with mask on patient’s face, or maybe those automatic hospital beds going up and down. All those equipment and machines fall under the category of DME i.e. Durable Medical Equipment. However, the important thing is, this equipment can only be recommended to a patient on fulfilling some usage criterion. Now who pays for these DME items? Payment for these DME items is to be made by insurance companies after the claim has been filed. After obtaining the insurance coverage information and completion of treatment procedures and all evaluations made by the provider, an invoice is prepared and a claim is submitted to the insurance company. An insurance company may be a government run program such as Medicare, Medicaid, Worker’s Compensation, ChampVA or it may be a commercial payer such as Aetna, BCBS (also the second largest insurance coverage provider in US) or UHC. DME medical billing The billing process starts as soon as the treatment is done. The patient demographics are collected, coverage information is obtained, eligibility verification is done, services are coded, and the claims are submitted. While you must be wondering that billing is all about submitting claims, it is more than that.

3. The complete DME medical billing service includes timely follow-up to the submitted claims as well. Additionally, in cases of claim rejections or denials, making corrections to the wrong information and then again submitting the corrected claim for reprocessing is also a part of DME medical billing service. Sometimes, during no response on the submitted claim or delay in the payment, the claim specialists need to follow-up with the insurance representatives and ask for the status of claims over call. Furthermore, posting payments in the system, and closing the medical invoices after making the required adjustment is also a part of DME medical billing services. Bikham Healthcare provides best in the industry DME medical billing services ensuring 100% HIPPA compliance so you do not have to worry about information security as well. Visit http://www.bikham.com to know more.