Why Experience Matters in DME Billing Requirements

Josh Knoll
3 min readMar 19, 2024
DME Billing
dme billing

It is crucial for any medical provider or durable medical equipment supplier to streamline their billing services to maintain the financial health of the business. When it comes to effective DME billing, a minor mistake can create turmoil within your revenue cycle.

As the DME industry is booming due to a rise in geriatric population and prevalence of chronic diseases across the country, the providers are facing challenges regarding lack of skilled laborers and stratospheric wages. In fact, lack of expertise is one of the major reasons for these minor mistakes which ultimately reduces the revenue of the business and create hurdles for quality patient care.

In this situation, outsourcing a revenue cycle management organization can reduce your billing worries so that you can completely focus on patient care. An outsourced company has a team of skilled and experienced laborers who can elevate your revenue and enhance the billing and coding process.

How Experienced Staff Streamline Your DME Billing

Outsourcing some or all of your DME billing services can be an affordable way to ensure streamline operations. But what to look for in a medical billing and coding company? To simply put focus on their experience and here’s why.

  1. Reduced mistakes: Denied claims and delayed reimbursements can take a toll on your company. When you outsource your billing service, you have a set of experienced billers and coders who understand the tidbits of coding and insurance guidelines. Furthermore, there will be fewer mistakes in documentation process so that you have reduced number of claims.
  2. Knowledge about insurance guidelines: Each insurance carrier has its own claim submission process and guidelines. Your billing professionals should know all the differences to reduce the claim denials. However, the constant changes in medical billing and coding regulatory guidelines increase complexity for your in-house staff. On the contrary, the experienced outsourced staff trains themselves constantly to gain insights regarding those changes and simplify the overall DME billing process.
  3. Quick reimbursements: As you have a team of dedicated employees working as an extended operational arm, you have timely claim submission and your reimbursements are accurate and reliable. This means, you can budget efficiently your office-related expenses as your revenue more closely reflects the financial condition of your practice.
  4. Reduced requirement of training: Whether you decide to outsource a full comprehensive billing for your DME or a part of the process, you don’t need to worry about educating or training the staff. A team working in the realm of revenue cycle management has the knowledge of every step and they are well-versed across different software systems. As a result, you don’t have to invest your time or money for training or development for your existing staff.

If your revenue is not matching each month, then there might be issues in the billing process. More and more organizations are turning towards outsourced revenue cycle management services for their expertise in reducing claim denials, advocate on their behalf to insurance carriers, and offer consultations regarding patterns of errors hindering the billing process. As coding and billing for DME is an intricate process, you can stay ahead and gain competitive edge with experienced billers and coders.

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