DME / Medical Invoicing professional needed in Toms River, NJ
-DME is the process of submitting claims to Medicare, as well as Medicare Advantage plans, and private insurers for durable "medical equipment" (wheelchairs, crutches, bedrails, walkers, etc.) the reusable medical devices your facility provides to patients.
This equipment ranges from wheelchairs and oxygen tanks to hospital beds and CPAP machines.
Unlike standard medical billing, DME claims require specific documentation to prove both medical necessity and proper equipment delivery. Your facility must show:
Three key players work together in DME claims processing:
- Understanding how these roles interact helps you spot potential bottlenecks in your billing process. For example, if your facility consistently faces denials for missing documentation, you might need better systems for gathering physician orders before submitting claims.
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