Compliant DME Billing Services
DME medical billing has become a focal target for CMS auditors. Redemption Revenue specializes in durable medical equipment billing compliance to help your company get paid without getting probed.
DME Medical Billing without the Worry
Every DME company faces a grim catch-22: they have to get paid, but durable medical equipment billing is ripe with audits. How do you get paid appropriately from insurance carriers and Medicare without the fear of being audited?
Redemption Revenue is led by a Certified Medical Auditor and Certified Healthcare Compliance Officer. Compliant DME billing is our #1 concern and we’re great at it. We’ll not only make sure your DME company gets paid for its services, we’ll help you maximize your payments, all while minimizing your audit risks.
Our DME Billing Services
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Credentialing & Provider Enrollment
Credentialing requirements and guidelines drive medical providers crazy because of their ever-chaning nature and general tediousness. Redemption Revenue stays on top of the changes and handles the tediousness of medical provider credentialing for you, including enrollment in government plans (SUCH AS WHAT?). We provide credentialing and credentialing maintenance for both new and established providers.
- Process and file documents for government plan enrollment
- Third-party payers
- CAQH and expired licenses
Our credentialing services are provided free of charge for each full-time provider with prorated rates for part-time providers.
Claims Submission
As part of the surgical billing and DME billing process, Redemption Revenue’s fast, efficient, and compliant claim creation and claim submission promotes faster reimbursements and ensures your patients receive their statements in a timely manner. We always submit electronic claims within 24 hours of receipt. Almost all unquestioned claims are paid within 30 days, and in some cases even earlier. We process paper claims for those payers who do not have the capability of processing claims electronically.
Patient Statements & Patient Billing Inquiries
Your reputation and your patients’ satisfaction is incredibly invaluable to the stability of your practice. By submitting claims quickly and correctly the first time, Redemption Revenue sends statements to patients in a timely manner. We mail patient statements monthly for each account with a deductible or patient responsibility balance. We also brand the statements to match your practice’s naming and branding as you see fit.
Redemption Revenue will handle all of your patients’ billing questions about their medical statement and payment history. Patient billing inquiries can be very time consuming for your office staff, but they’re tantamount to patient satisfaction. Rest assured that we will take the time to answer any and all questions regarding your patient’s statement in a prompt and courteous manner. We will protect the reputation of your practice.
Payments & Posting
Redemption Revenue triple checks your payments and matches them with your claims and accounts receivable to confirm payments requested and payments received match perfectly every time. We know that perfect payment posting in the surgical billing process is extremely important to the trust and goodwill of a provider and its patients and payers. We will not violate that trust with avoidable errors.
Denials, Appeals, & Soft Collections
Redemption Revenue will quickly follow up on any unpaid insurance claims and claim denials. Your money is our only job and we will fight to make sure you’re paid correctly and timely. As part of our surgical billing and DME billing services, we will consistently and proactively review, correct, and resubmit any unpaid claims and denials.
Our responsibility is to make sure you get paid in full. Collections agencies barely break even in the end. As a last-ditch effort before you turn to a costly collections agency, Redemption Revenue makes soft collection efforts via phone and mail to help your patients pay what they owe. You deserve to get paid; we’ll make it happen.