Specialty Focus: Durable Medical Equipment

DME Billing,
Engineered for Precision.

medical_services

Medical Supplies

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Orthotics
wheelchair_pickup
Mobility
pulmonology
Respiratory
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Supplies

Select a DME focus area on the scanner or list below to reveal the specific HCPCS Level II codes, modifiers, and documentation standards our certified coders master to secure your revenue.

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Orthotics & Prosthetics (O&P)

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Precision billing for L-codes. We expertly distinguish between custom-fabricated and off-the-shelf orthotics, applying strict RT/LT modifiers and ensuring the mandatory documentation of medical necessity to prevent PDAC audits.

HCPCS L-Codes Custom vs OTS RT/LT Modifiers
wheelchair_pickup

Mobility Equipment

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Navigating the complex requirements for Manual and Power Wheelchairs (K-codes and E-codes). We rigorously verify the Face-to-Face (F2F) evaluations and 7-element orders to secure prior authorizations and prevent capped rental denials.

K-Codes & E-Codes Prior Authorization 7-Element Orders
pulmonology

Respiratory & Oxygen

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Billing for CPAP, BiPAP, and Oxygen therapy equipment. We ensure the mandatory 30/90-day patient compliance data is verified to keep recurring rental cycles active without interruptions from the payer.

CPAP/BiPAP Compliance Downloads Oxygen CMNs
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Medical Supplies

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Managing the intricate rules surrounding diabetic testing supplies, ostomy, and surgical wound care (A-codes). We closely monitor Medically Unlikely Edits (MUEs) to prevent denials related to exceeding standard quantity limits per month.

HCPCS A-Codes Quantity Limits (MUEs) Wound Care Supplies

DME Billing is Complex.
We Make It Profitable.

Durable Medical Equipment suppliers face relentless scrutiny regarding medical necessity modifiers, rental limits, and delivery proofs. Hover over the common challenges below to see how HBS secures your revenue.

Strict Modifier Mandates

Missing or misapplying a KX modifier (indicating specific medical policy requirements are met), or confusing GA, GZ, and EY modifiers leads to immediate DME MAC rejections.
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The HBS Solution

Our rules-engine validates every claim against active LCDs and NCDs, ensuring KX, RT, LT, and advance beneficiary notice (ABN) related modifiers are perfectly appended prior to submission.

Rent vs. Purchase Tracking

Tracking 13-month capped rentals manually is a nightmare. Failing to transition modifiers from RR (Rental) to NU/UE correctly leaves thousands of dollars on the table.
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The HBS Solution

We automate the monthly tracking of rental cycles. Our team ensures the seamless transition of billing from the 1st month (RR) to the 13th, maximizing your capped rental revenue.

CMNs & Proof of Delivery

Submitting claims without a valid Certificate of Medical Necessity (CMN) or signed Proof of Delivery (POD) exposes your business to severe RAC audits and recoupments.
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The HBS Solution

We implement a hard-stop protocol. No claim is submitted until our team verifies that the CMN, DIF, and signed Proof of Delivery documents are fully executed and stored in the system.

The HBS DME Advantage

We don’t just process claims; we act as the financial safeguard for your DME supply chain. From managing complex HCPCS modifiers to tracking monthly rentals, we optimize your entire equipment revenue cycle.

98% First-Pass Clean Claim Rate

Our proprietary scrubbing engine catches missing KX modifiers, invalid MUE quantities, and missing CMN indicators before the claim ever leaves our system.

Automated Rental Rollovers

We take the headache out of capped rentals by managing the month-to-month billing cycles automatically, preventing delayed or missed invoices.

Audit-Ready Compliance

We maintain impeccable trails for physician orders, face-to-face evaluations, and proof of delivery, shielding your DME business from federal recoupment audits.

Average Supplier Revenue Lift (First 6 Months)

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+19% Lift
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Calculate Your Specific ROI

Stop Equipment Denials Today.

Let our specialized DME billing team audit your current processes. Discover exactly where your revenue is leaking on unbilled rental cycles and modifier errors.