Maximize DME Reimbursements Without Compliance Hassles

We handle HCPCS coding, claim submission, documentation review, modifier application, compliance with payer rules, AR follow-up, and reporting.

We identify the correct billing model based on payer policy, track rental periods, convert to purchase when appropriate, and ensure proper reimbursement.

Yes. We stay up to date with Medicare’s DME guidelines including LCDs, documentation requirements, CMNs, and correct use of KX and GA modifiers.

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Our certified coders use the latest HCPCS code sets and verify documentation to ensure accurate code selection, quantity billed, and medical necessity alignment.

Yes. We verify coverage, obtain authorizations when required, and document payer requirements to minimize delays and denials.

We specialize in DME-specific challenges like modifier use, capped rentals, fee schedules, and payer-specific item documentation which many general billers overlook.

Claims are submitted daily. We begin follow-ups on unpaid claims within 14 to 21 days and escalate appeals based on payer timelines.

Yes. We integrate with systems like Brightree, Kareo, Athena, and others to work directly within your existing workflow without requiring major system changes.

Absolutely. We handle claims for respiratory equipment, wheelchairs, braces, walkers, diabetic supplies, and all CMS-recognized DME categories.

We use a multi-step scrubbing process to catch errors before submission, apply correct modifiers, validate documentation, and stay aligned with payer policies.

Yes. We offer pre-audit preparation, documentation audits, and support during CMS or private payer reviews to protect against recoupments and penalties.

We maintain payer-specific billing guides, review updates regularly, and apply those changes to claims and documentation workflows in real time.

Yes. We can manage patient statements, payment posting, and follow-up communications to improve self-pay collections alongside insurance reimbursements.

Yes. Our systems and staffing scale to meet the needs of large DME suppliers with multiple sites and high order volume without loss of accuracy or speed.

We provide customized weekly and monthly reports showing claim volume, clean claim rate, denial reasons, AR aging, and collection trends for full visibility.