DME and HME Billing Solutions

Enhance Quality, Efficiency and Productivity

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300M
Demo Entered
Per Year
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$380M
Charges Entered
Per Year
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1.5M
Medical Charts Coded
Per Year
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$160M
Payments Posted
Per Year
Enlist Expertise

Take Back Control Over Your Revenue Cycle

We provide a host of end-to-end revenue cycle, billing and coding services to Durable Medical Equipment and Home Medical Equipment organizations across the nation. With over a decade of experience, our certified experts are well-versed in scaling profitability and possess the know-how to help you navigate through this complex and ever-changing regulatory landscape. Our services are tailored to suit each client’s unique requirements, helping you lower out-of-pocket costs, reduce billing errors and shorten payment cycles ensuring consistent cash flow.

Services

Accelerate Your Performance

Durable and Home Medical Equipment is predominantly provided to patients only if medical necessity clauses are satisfied and require advance prior authorization from their respective health insurance providers. Our PDAC (Pricing, Data Analysis & Coding) specialists are well-versed with Durable Medical Equipment Coding Systems (DMECS) and HCPCS Level 2 codes.

Our certified coders and billers assist you with coding for invoices, documentation cataloging, and quality audits for electronic claims submission. Through continuous quality audits, we ensure clean claim submissions and reduced outstanding AR days and denials.

We provide full-scale or stand-alone DME and HME revenue cycle solutions that help accelerate your performance and simplify complexities.

  • Prior Authorization / Eligibility Verification
  • Patient Registration / Demographic Entry
  • Charge / Order Entry
  • DMECS and HCPCS Level 2 Coding
  • Electronic Claim Submission
  • Payment Posting
  • Accounts Receivables & Denial Management
  • Old AR Clean-up / Recovery
  • Advanced Reporting / Statements
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Executive reviewing reports on the computer.
How It Works

Our Revenue Cycle Management Process

  • Claims are delivered to relevant DME MACs jurisdiction (Part B or Part C) based on the item(s) purchased.
  • Modifiers will append all the items (RR- Rental, NU-Purchase) to classify the equipment order.
  • Claims will route out with purchase orders/documentation to DME Jurisdiction C electronically for faster payments.
  • CMN and/or physician orders delivery ticket.
  • WOPD, first-month purchase order (when applicable).
  • We review all documentation for completion, accuracy, compliance, qualifications & medical justification.
  • We enter all billable claims and send you a report of all that is not billable.
  • A final pre-audit before transmitting claims.
  • Claims are transmitted directly to the payors.
  • Continuous rejection monitoring.
  • ERA postings.
  • Secondary claims generation.
  • Denials, no-pays and partial pays are worked on time.
  • We send your 10-month letters on all capped rentals.
  • We automatically bill your monthly rental patients until we receive a pick-up notification from your office.
  • We generate invoices once a month for all payments received.
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Let's Connect

Unlock Your Practice’s True Potential

Schedule a no-commitment free demo and explore how partnering with Bristol Healthcare Services can help elevate your practice’s profitability.

Connect Now

Multi-Software Expertize

Our team of experts are well versed and experienced with most of the popular software used by clients today.

Benefits

Why Leading Healthcare Organizations Partner With BHS

  • Save up to 40% on out-of-pocket expenses.
  • 100% patient data registration accuracy.
  • Accurate and compliant coding by AAPC & AHIMA certified experts.
  • Incorporation of up-to-date codes of ICD, CPT and HCPCS into your practice.
  • Strict adherence to LMRP standards and NCCI edits.
  • Hassle-free and rapid billing system module.
  • 12 - 24 Hour turnaround time.
  • Get paid on time and collect 100% of what’s owed.
  • Streamline payment receipts.
  • Increased and sustainable productivity.
  • Proven expertise in 35+ billing and EHR software.
  • Improved brand image and reputation.
  • Absolute HIPPA & HITECH regulations adherence.
  • Affordable and flexible pricing solutions. No hidden fees or charges.
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Testimonials

What Our Clients Say

Together with our clients, BHS experts partner to achieve desired outcomes
and push the boundaries of what's possible.