DME Billing Services

Why DME Billing Services Require Expert Management


DME​‍​‌‍​‍‌​‍​‌‍​‍‌ providers are deeply involved in detailed coding, insurance verifications, and have to deal with a large number of heavy claims. Billing Care Solutions ensures that every claim is submitted in the right manner; in other words, they are submitting every claim correctly, including common items such as CPAP masks (A7030), CPAP tubing (A7037), nebulizers (E0570), and walkers (E0143). We are actively involved in tracking denials, managing accounts receivable, and identifying those areas of the workflow where you may be slowed down in getting your payments. Our team is busy with coverage checks, credentialing, and denial resolution, which is your revenue; thus, your money keeps coming. DME providers, with our help, lessen the burden of administration, improve the flow of money, and keep the rules while they concentrate on patient care and delivery of ​‍​‌‍​‍‌​‍​‌‍​‍‌equipment.

Our Expertise in DME Billing

  • Comprehensive Coding Proficiency: Skilled in using CPT, ICD-10, and HCPCS codes for various DMEPOS items.
  • Payer Guidelines Mastery: In-depth understanding of Medicare, Medicaid, and private payer regulations to ensure compliance and accurate billing.
  • Revenue Optimization Strategies: Expertise in data analysis and reporting to drive optimal financial performance and maximize revenue.
  • DMEPOS Equipment Knowledge: Specialized proficiency in the management of both rental and purchased equipment claims.
  • Workflow Enhancement Solutions: Providing strategies to streamline workflows, enhance operational efficiency, and reduce errors.

Achieve Better Outcomes with Specialized DME Billing
Services

Performance Stats
Days in AR

< 25

Days in AR

Revenue Increase

40%

Revenue Increase

Denial & Rejection

< 5%

Denial & Rejection

Clean Claims Rate

99%

Clean Claims Rate

Client Retention

100%

Client Retention

What You Need to Know About DME Billing Services

With our DME billing services, your practice will have the framework and the backing necessary to carry out durable medical equipment (DME) claims in a smooth way. We are handling the entire chain of events, from the checking of HCPCS codes to the confirmation of medical necessity and the preparation of the full documentation that meets the payer's requirements. Accuracy is the word that describes the management of every step taken to lessen the delay, denial, and compliance risk. No matter if you are offering boots, braces, orthotics, or any other kind of supplies, we ensure that each claim is submitted the first time correctly. Trust us to keep an eye on rental caps, handle proof-of-delivery requirements, resolve audits, and follow up on outstanding claims so that your revenue is going where it should be.

Explore More Specialties

Identifying Practice Weaknesses

Evaluate workflow inefficiencies to improve revenue and billing accuracy.

Seamless Practice Insurance Credentialing

Ensure timely provider enrollment to maintain uninterrupted billing operations.

Streamlined Front Office Management

Simplify patient registration, billing, and scheduling for better efficiency.

Error-Free Claim Submission & Scrubbing

Submit clean claims to minimize denials and accelerate reimbursements.

Proactive Denial Resolution

Track rejected claims and resolve issues quickly to maximize revenue.

Efficient Payment Posting

Accurately post payments to maintain consistent cash flow and reporting.

DME Billing Services

Why Choose Our
DME Billing Solutions

Work with a team specialized in DME billing to optimize revenue, reduce denials, and allow your staff to focus on patient care and equipment management.

Behavioral Health Billing Illustration

Overcome Complex DME Billing Challenges with Billing Care Solutions

We provide specialized expertise in HCPCS coding, documentation requirements, and compliance for DME, orthotics, and supply billing to secure your revenue.

Billing ChallengeBCS Solutions
Managing complex documentation requirements for medical necessityOur team ensures all documentation meets strict Medicare and payer guidelines for equipment and supply approval.
Navigating HCPCS Level II coding and pricing updatesWe maintain current knowledge of HCPCS codes and ensure accurate application for all DME, supplies, and orthotics.
Handling rental versus purchase options and billing requirementsOur specialists manage the intricacies of capped rental, frequently serviced, and purchase option DME categories.
Managing the Advance Beneficiary Notice of Noncoverage (ABN) requirementsWe ensure proper ABN usage and documentation for items that may not be covered by Medicare.
Coordinating with physicians for detailed written orders and face-to-face encountersWe facilitate communication with prescribing providers to obtain compliant documentation for DME orders.

Delivering Nationwide Support for DME Practices

Get​‍​‌‍​‍‌​‍​‌‍​‍‌ your durable medical equipment billing to flow more smoothly and efficiently by having a team that is familiar with the intricate requirements of DME claims. To lessen denials and keep your returns at the same level, we do the coding, documentation verification, and claim follow-up. Your practice will be able to decrease the amount of administrative work and keep a steady flow of money if you have reliable billing systems in ​‍​‌‍​‍‌​‍​‌‍​‍‌place.

Why Do Healthcare Professionals Choose BCS Medical Billing Services?

rapid -response-time-billing-care-solutions

24/7 Rapid Response Time

practice-health-plan-billing-care-solutions

Practice Health Plan

error-free-billing-billing-cares-solutions

Error Free Billing

fast-revenue-restoration-billing-care-solutions

Practice Health Audit

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Constant Revenue Boost

45%
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Claims Submission Success Rate

99%
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Fast Revenue Restoration

20 Days
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Free Consultantion Call

15 Minutes

Key Codes Used in  DME Billing

Accurate HCPCS and ICD coding is essential for durable medical equipment claims in critical care settings. Proper coding ensures timely reimbursement and payer compliance.

Code TypeCodeDescription
HCPCSE0465Hospital ventilator, continuous or intermittent
HCPCSE1390Oxygen concentrator, single delivery
HCPCSE0601Continuous positive airway pressure (CPAP) device
HCPCSA4604Surgical masks, non-powered
HCPCSA4550Nebulizer, compressor
HCPCSE0570Portable suction pump
HCPCSE0424Portable ventilator, battery powered
HCPCSK0738External infusion pump, insulin
ICD-10J96.00Acute respiratory failure, unspecified
ICD-10Z99.11Dependence on a respirator
ICD-10T81.4XXAInfection following a procedure, initial encounter
ICD-10I50.9Heart failure, unspecified
ICD-10R65.21Severe sepsis with septic shock

DME Billing FAQ's

How do you code hospital ventilators under E0465? +

We support the usage of the ventilator and its duration by checking clinical documentation and patient status.

How do you handle oxygen concentrator billing (E1390)? +

We take a look at the prescription details, patient oxygen requirements, and payer coverage criteria to make sure everything is in order.

How do you bill CPAP devices (E0601) for critically ill patients? +

We make sure that the documentation supports the medical necessity, for example, by providing a sleep study or the use of a respiratory failure intervention.

How do you manage billing for nebulizers and suction pumps (A4550, E0570)? +

We confirm that the orders, duration of use, and payer-specific requirements are in place so as to prevent denials.

How do you code portable ventilators (E0424) in hospital settings? +

We align the device type, patient dependency, and medical necessity with the documentation rules of the payer.

What steps do you take to ensure that denials for K0738 infusion or insulin pump claims don't occur? +

We verify medical necessity, check the prescription, and ensure that the patient complies with the payer's coverage requirements.

What is your process for matching ICD codes with DME services? +

We link the diagnoses, such as J96.00, R65.21, or Z99.11, with the medical equipment that is indicated in the doctor's prescription in order to receive the correct reimbursement.

What is your method of dealing with the case where multiple DME items are billed for one patient? +

We identify each item, make sure that there is separate documentation for each, and use modifiers if they are allowed and necessary.

What do you do to address the issue of recurring denials for DME claims related to critical care? +

We scrutinize the denied requests, fix the errors in coding, include the supporting documentation, and, if needed, file a rebuttal.

How do you enhance the reimbursement of expensive DME in critical care? +

We are always one step ahead of the payers by monitoring their policies, making sure that the documentation is in order, checking that the HCPCS/ICD codes are correctly paired, and submitting records along with our claims.

What Our Clients Say

Trusted by healthcare professionals and organizations nationwide for accurate billing and reliable results.

Client Photo

Jennifer Aaron

Cardiologist, HeartCare Clinic

“Billing Care Solutions offers exceptional billing services with responsive and professional customer support. Their user-friendly system has streamlined our processes and reduced our workload. Any issues were resolved promptly and efficiently. Highly recommended for reliable billing solutions.”

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David Lieske

Chief Strategy Officer

“Billing Care Solutions LLC and Adnan Qamar have been assisting our organization with our billing services, and they have performed in a world class manner. Their collaboration with our Revenue Cycle Management Team and Clinical Management has been seamless and professional. Top notch!”

Client Photo

Linh Tran

Chief Finance Officer, My CHN

“I have been working with Adnan and his team for more than 2 years. They are very knowledgeable in medical billing and very responsive to our needs. Adnan has good contacts with payers reps and familiar with payers’ requirements which help the works done quicker and easier ! I recommend his services to revenue cycle managers ! ”

Client Photo

Ashley Sahakian

Owner, Express Wellness LLC

“I have experienced nothing but the best service and quick results when it come to their services. They are very friendly, and professional. They have really helped me grow my business! Thank you all so much! God bless!”

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Zahid Mehmood

Manager BD, CRM

“Organised and timely completion of the task. Adnan team handled the project with utmost professionalism and made the whole process seamless from gathering the requirements till completing the enrolment process along with keeping us informed through out the process.”

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Melissa Renteria

CEO, Family Health Center

“Excellent service and quick turn around, knowledgeable and friendly. I have worked with Adnan for years and I have enjoyed it, he is punctual on his projects and very efficient. I highly recommend using his services you won't be disappointed!”

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Emily Kariuki

Owner, Home Health Agency

“Great service. Professional, friendly, people who get the job done. The best”

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Donna Taylor

Manager

“very professional and great customer service. Would highly recommend”

Client Photo

Judy Kariuki

Operations Coordination Manager

“So far, all expectations have been met. Billing Care Solutions work has resulted in fewer billing rejections and increased clients from the marketing efforts. The team has impressed the client with their rapid response and timely service delivery. Billing Care solutions communicates via email, messaging apps, and virtual meetings.”