DME Health Billing
Catering to diverse billing needs.
The DME Billing service caters to a diverse range of needs for DME providers. From handling Medicare and Medicaid to managing Molina, Superior, HMO, and other payer billing, we’ve got you covered. Drawing on our extensive experience, we excel in producing accurate claims that ensure prompt payments. We take the initiative to engage in ongoing follow-ups with insurance carriers, resolving issues and tracking the status of claims. If additional information is necessary, we proactively reach out, clearly outlining our requirements.
Furthermore, in accordance with your guidance, we liaise with ordering physicians and patients to gather any essential details. As primary claims receive payment notifications, we seamlessly initiate the process of billing secondary claims whenever applicable. We are also adept at back billing and review of any outstanding receivables incurred prior to our start date.
At ZMed Billing, we strive for:
● Usage of specific ICD 10 diagnostic codes
● Procedure codes with correct modifiers
● The right order of doctor names with NPI
● Patient details
● Authorization number – Compared to what is on the payer’s site
● Payer ID – Merger is a constant issue with respect to correct payer ID
● Making sure the claim goes to the insurance
● Making sure claims get followed up within a week
● Basic spreadsheet payment posting for easy access to the provider(s) for not having any software dependency and for sharing with accountants.
Services we provide to DME Customer(s)
- Data Entry, Validation & Transmission
- Claims Review & Follow-up
- Recovery & Collections
- Authorizations
- Patient Eligibility Verification
- Payment Posting & Remittance Advisory
- Report & Accounting