CMN requirements are complex and vary by equipment type, requiring detailed physician documentation and patient information.
Most DME items require prior authorization with extensive documentation, causing significant delays in equipment delivery.
Complex Medicare and commercial payer rules for rental caps, purchase options, and capped rental periods.
Payers require proof that beneficiaries do not have similar equipment before approving new DME items.
Proof of delivery, beneficiary signatures, and setup documentation are required but often incomplete.
DME billing requires specialized HCPCS modifiers for rental periods, repairs, replacements, and upgrades.
Our team includes certified coders with specialized training in HCPCS codes, modifiers, and DME-specific billing rules.
Comprehensive management of Certificates of Medical Necessity with automated tracking and physician follow-up.
Dedicated PA team with automated tracking ensures timely approvals for all DME equipment and supplies.
Comprehensive compliance monitoring and audit support to protect against recoupments and ensure regulatory adherence.
Expert billing for wheelchairs, walkers, hospital beds, and mobility aids with proper CMN and PA management.
Specialized billing for oxygen equipment, CPAP/BiPAP devices, and nebulizers with compliance tracking.
Complete billing for diabetic testing supplies, insulin pumps, and continuous glucose monitors.
Expert billing for custom orthotics, prosthetic devices, and bracing with proper documentation.
Medtransic's DME billing expertise has transformed our operations. Their understanding of CMN requirements and prior authorizations has increased our revenue by 45% while dramatically reducing our denial rates and administrative headaches.
Contact Medtransic today for expert durable medical equipment billing services. Call 888-777-0860 or visit https://medtransic.com/contact for a free consultation.