Durable Medical
Equipment Billing

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The billing process for Durable Medical Equipment (DME) is riddled with various operational nuances and varied degrees of difficulty. With a number of external obstacles such as tighter credit markets, increased regulatory scrutiny, competitive bidding and the constant changing guidelines, the reimbursement process needs to be managed with, ample care and attention to detail, given its inherently complex nature. In addition to understanding this complex landscape, a successful biller need to understand the various reimbursement guidelines and complexities of Medicare, Medicaid and Commercial plans.

NYX Med has a large team of highly qualified and certified DME billers and coders, capable of managing all your complex requirements. NYX Med’s extensive domain expertise in the DME space, proven RCM process, proprietary technology and detailed analytics can help your company transform the way things are done. When you entrust your DME billing to NYX, we automatically become an extension of your team and help you achieve your business objective.

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Our DME Billing process includes:

Pre-order management including comprehensive Medicare review, Eligibility verification, patient responsibility review and order validation and creation Order fulfillment and inventory verification Claim submission including error free patient entry, sales order creation and claim scrubbing.

Payment and cash posting including posting of electronic and hard-copy remittances and denials. AR Management that entails a detailed AR follow up process, denial management and denial analytics.