August 07, 2020 - BY Admin

4 Tips to a Smoother DME Medical Billing


DME Explained!

DME (Durable Medical Equipment) or HME (Home Medical Equipment) is recuperative equipment recommended by qualified doctors to patients who are suffering from a certain infirmity or medical condition.

However, it is worthy of note that any equipment being utilized beyond medical needs or for the convenience of a patient is not covered by DME billing.


 HMEs are designed particularly for therapeutic patients who are experiencing continuing medical conditions.

Examples of Home Medical Equipment

  • PAP
  • Nebulizer
  • Crutches
  • Traction Equipment
  • Oxygen Supplies like ventilators, tanks, and monitors
  • Orthotics
  • Prosthesis
  • Bath Chairs
  • Walkers
  • Hospital Beds
  • Wheelchairs


What is HME Billing?


DME/HME billing can be described like the steps taken for the effective management of front-end and back-end activities required for submission before receiving payment from insurance.


Insider Secrets to Smoother HME Billing


The process of billing for HME services can be tiresome and complicated for physicians.



But the good news is that this can be handled in different ways and additional revenue would not be lost.


Discussed below are secrets to suitable HME billing that will enhance the process of RCM (Revenue Cycle Management) reimbursement.


1. Documentation

As far as HME amp & coding billing is concerned, documentation is of great importance. Using the right HCPCS code for certain items will guarantee a faster claim process.

However, this documentation should fulfill the requirements of Medically Necessary required when HME products are billed.

Also, the documentation should answer the question of the way, what, when and where of the Domestic Medical Equipment product billed. Strict documentation must be employed for easy coding to ensure efficient medical billing.

2. Durable Medical Equipment Regional Carrier (DMERC) License

DMERC license is required to distribute Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) and the covered materials meant for the Medicare patients.


3. Rules and Regulations

You need to have an idea of what is contained in the latest laws and guidelines as spelled out by the private and CMS payers. Several payers can have various rates for HME products.

Furthermore, it is advisable to note that the rates for Domestic Medical Equipment products percentage reimbursed by the CMS can as well differ.

Therefore, it would be suitable to employ somebody to keep updated with the information and process the claims before submission and run them via a checklist.

This would reduce the rejection/denial rates and flawlessly simplify the RCM process, particularly where Home Medical Equipment services are involved.


4. Eligibility and Coverage

This is the stage where coverage and eligibility of your patients are verified to simplify the process of DME billing.

If you are a physician who wants to handle HME billing successfully, the four indicators discussed above are indispensable.

Consequently, it will just be right to outsource the medical billing and claim submission aspect to a reputable and specialized medical billing company.

Hire RCMadept Billing Solutions for Your Medical Billing Services


RCMadept Billing Solutions is a medical billing organization located in Florida, the USA. It was launched to offer specialized services for HME/DME billing solutions.


We are the next generation RCM (Revenue Cycle Management) business devoted to providing advanced technology solutions and up to date practice in the healthcare sector with the help of the HME industry professionals.


Call +1 352 818 9694 for a free quote or get more information from