Order and coverage file
Check the ordered item, prescriber information and required supporting records. Route clinical or coverage gaps to the responsible practice team.
DME BILLING SUPPORT
Connect the order, delivery and payer requirements.
Durable medical equipment billing needs a complete administrative trail from an order to delivery and payment. We organize required records and claim follow up within the agreed product scope.
WHERE THE WORK GETS STUCK
The claim starts before submission.
A claim can be held because the order, delivery record or coverage documentation is incomplete. Rental and purchase arrangements also need different tracking.
SPECIFIC OPERATIONAL CHECKS
What we connect in the workflow.
Delivery and item details
Match the supplied item and dates to delivery documentation. Review units and rental or purchase indicators as applicable.
Ongoing payer follow up
Track additional documentation requests, recurring rental periods and denials. Keep item-specific requirements visible instead of using one generic checklist.
ILLUSTRATIVE CODE REFERENCES
Small details.
Different claim questions.
Examples for understanding the workflow.
Code selection follows the actual service.
| Code | Example service | Operational check |
|---|---|---|
| E0601 | CPAP device example | Coverage, order and supporting records must be reviewed for the item. |
Illustrative CPT, HCPCS or other billing references, not coding instructions or coverage promises. Current code sets, documentation, payer policy and date of service control the correct claim. Review the relevant billing reference
WHAT YOUR PRACTICE RECEIVES
Clear exceptions.
A visible next action.
An item-specific record checklist, delivery-to-claim reconciliation and a payer request queue.
- A named owner and agreed communication plan
- Enrollment and payment setup gaps included in the review
- Written scope before access or service begins
CLAIM VOLUME AND SCOPE
Use your workload, not an industry guess.
Product categories, rentals, deliveries and record requests determine the work. Coverage and supported product scope are confirmed before onboarding.
Billing is quoted as a percentage of monthly collections. Provider count, workflows and historical outstanding work help define the responsibilities included in your agreement.
See Billing & RCMBEFORE WE BEGIN
Agree on the details that affect delivery.
We map your payer mix, systems and the three workflow checks above, then agree on the records and scope needed. No practice information is required before the mutual agreement is signed.
No. We identify gaps and possible next actions. Coverage, records, filing windows and payer decisions determine whether a claim can be corrected or paid.
After the agreement and a BAA, we arrange a secure handover with approved access. Please do not send patient information through public website forms or regular email.
CONNECT THE DETAILS
Start with your practice, not a generic proposal.
A Free Practice Review connects billing, credentialing, enrollment and payment setup. We agree on scope first, with a signed agreement and BAA before practice data moves.