Simplify Durable Medical Equipment (DME) billing and maximize your revenue cycle! At Nexus io, we are your trustworthy partner for DME billing services, allowing you to focus on patient care and practice growth. Our full-scale DME billing services help your practice achieve higher profitability and maintain steady cash flow through accurate HCPCS Level II coding. Partner with us to experience a stronger, more efficient revenue cycle.
The U.S. Department of Health and Human Services reports that over 3 million Medicare beneficiaries rely on Durable Medical Equipment (DME) each year. Efficient DME billing services are vital for securing timely reimbursements for these assistive devices.
High demand for wheelchairs, nebulizers, crutches, glucose monitors, and hospital beds makes it difficult for providers to manage claims documentation, CMS CMS-mandated deadlines, meet CMS-mandated deadlines, and resolve payment disputes.
Additionally, CMS data shows DME claim denials can exceed 20% due to CD-10/CPT/HCPCS coding errors or missing supporting documentation, causing major revenue loss for providers. In this case, outsourcing to a reliable DME billing company like Nexus io is the best option for your practice to achieve faster reimbursements and maintain a steady revenue stream.
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Like other medical specialties, DME suppliers face significant challenges in medical billing and coding. Many consider DME medical billing even more complex because of its unique coding rules, frequent regulatory updates, varying payer policies, and constantly changing reimbursement rates. Some of the common challenges in DME billing are:
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Nexus io is your affordable DME billing company in the USA, dedicated to optimizing your revenue cycle with the expertise of our DME billing specialists. We apply the best practices in DME billing to eliminate billing challenges for rental and purchased equipment.
Many DME claim denials occur due to preventable medical billing errors. Not verifying patient eligibility and insurance benefits often leads to incorrect submissions at the start. Separately billing Medicare for equipment provided during inpatient hospital stays creates further complications.
Denials also arise when providers fail to prove the medical necessity of a device or miss prior authorizations for specialized equipment and supplies. Documentation gaps, such as unclear information on whether equipment was rented, purchased, or obtained after a trial rental period, further complicate the claims adjudication process.
Incorrect or missing HCPCS modifiers also make it difficult for payers to process claims, often causing payment delays or lost reimbursements.
Nexus io verifies insurance coverage early, matches claims with MBI records, and secures prior authorizations within 48 hours. We submit complete documentation, including rental or purchase records and warranty details, and apply accurate HCPCS modifiers to ensure faster reimbursements and higher revenue recovery.
As Durable Medical Equipment (DME) coding falls under the HCPCS Level II coding system, our team ensures that the correct alphanumeric code represents each piece of equipment, supply, and service. Modifiers are applied accurately to meet payer guidelines, whether the equipment is new, rented, or repaired. Our AAPC-certified professional medical coders stay updated on payer policies and regulatory changes to prevent coding errors, reduce claim denials, and accelerate cash flow and reimbursement cycles.
We provide 24/7 support for all Durable Medical Equipment (DME) billing and revenue cycle services. Whether you supply orthotics, prosthetics, respiratory equipment, or mobility aids, our team ensures accurate HCPCS coding and timely claim submission.
We help reduce denials, recover outstanding AR, and manage payer-specific requirements like medical necessity and documentation. Every service is aligned with DMEPOS compliance standards and regulatory updates.
Our billing specialists focus on clean claims and faster reimbursements to keep your DME business running smoothly.
Detailed documentation is the foundation of accurate DME billing. At Nexus io, our DME billing specialists manage all paperwork needed for clean claim submissions. This includes physician prescriptions, patient diagnoses, and clinical notes to confirm medical necessity.
We also handle supporting documents such as prior authorizations, proof of delivery, rental or purchase records, and warranty details. Our comprehensive documentation support ensures fewer errors, faster approvals, and timely DME reimbursements.
At Nexus io, we provide expert DME billing audits to ensure every claim is accurate and compliant before submission. Our DME billing specialists review HCPCS Level II coding, supporting documentation, and payer compliance rules to identify issues that could cause denials or revenue loss.
We check HCPCS Level II codes, verify medical necessity, and attach all required documents, including physician orders, prior authorizations, and proof of delivery. This proactive audit process helps providers submit clean claims, avoid compliance penalties, and secure faster reimbursements for DMEPOS services.
Nexus io is your trusted partner for DME billing services. Our certified biller staff ensures your claims are submitted accurately to maximize your reimbursement cycle. Fill out the brief form, and one of our medical billing experts will contact you within 12 hours.
What makes Nexus io the best choice for DME billing services?
Nexus io is a trusted DME billing company known for delivering accurate coding, payer compliance, and complete documentation support. Our proven DME billing solutions reduce denials, speed up reimbursements, and improve revenue cycle performance for providers.
How does Nexus io ensure efficient DME billing?
We follow a structured process that includes eligibility verification, HCPCS coding accuracy, prior authorization management, and real-time audits. This approach makes outsourcing DME billing to Nexus io efficient and ensures clean claims with faster payments.
Does Nexus io support both DME and HME suppliers?
Yes. As a specialized DME billing company, Nexus io offers end-to-end DME billing solutions for both Durable Medical Equipment (DME) and Home Medical Equipment (HME) suppliers, fully compliant with Medicare, Medicaid, and commercial payers.
What challenges exist in DME billing today?
Challenges include frequent HCPCS updates, strict payer policies, extensive documentation requirements, and delays in prior authorizations. Outsourcing DME billing to experts like Nexus io helps providers overcome these issues and maintain smooth revenue cycles.
Are your DME coders AAPC-certified experts?
Yes. Our DME billing company employs AAPC-certified coders with specialized knowledge in DME and HME billing guidelines. Their expertise ensures accurate coding, minimizes errors, and supports faster reimbursements.
Connect with Nexus io’s DME billing specialists today to secure maximum reimbursements for your medical equipment and supplies. We optimize your revenue cycle; one accurate claim at a time!
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