Comprehensive DME Insurance Verification Services

21+

Years of Experience

1000+

Experienced Resources

200+

Satisfied Clients

Meet OSI – Your DME Insurance Verification Partner!

Concerned about DME (Durable Medical Equipment) verification paperwork? A reliable DME billing company can support you. For providers looking to streamline their DME insurance verification and billing process, it’s a strategic advantage to outsource DME billing to a trusted partner like OSI.

Accurate patient eligibility verification and prior authorization play a key role in DME revenue cycle management. We have experience in carrying out successful verification and authorizations for hundreds of DME such as orthotics, prosthetics, wheelchairs, surgical implants, dental implants, neurostimulators, respiration aiding equipment, implantable devices, etc. Our verification of patient benefits include confirming the medical coverage of the patient in detail and ensuring that the patient receives treatment approval. We also help the hospital, facility or physician to receive the right reimbursement for the services rendered.

We verify the coverage by calling the insurance company or we do it online depending on specific insurances and the type of information that is needed. With our expertise and end-to-end support, your practice can get faster approvals, reduce denials, and find more time to focus on delivering quality patient care.

Partner with us for hassle-free DME insurance verification

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Reliable DME Insurance Verification and Billing Services

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Patient Eligibility Verification

Our DME (Durable Medical Equipment) verification involves thoroughly verifying patients’ insurance details, including coverage limits, copayments, deductibles, and eligibility status. We ensure that all necessary criteria are met prior to the provision of durable medical equipment.
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DME Billing

With a deep understanding of DME coding, billing regulations, and insurance requirements, our team ensures accurate and efficient processing of claims from start to finish. We handle all aspects of medical billing, including claim submission, coding optimization, and denial management, to maximize reimbursements and minimize revenue leakage.
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Prior Authorization

We handle all the complexities related to insurance requirements for DME. Our team works diligently to gather the necessary documentation, ensuring all medical necessity criteria are met. This streamlines the pre-approval process, minimizing delays and reducing the risk of denials.
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AR Follow Up

With our AR follow-up services, you can ensure that your practice’s financial health is in capable hands, allowing you to focus on delivering exceptional patient care without the worry of outstanding receivables. By proactively addressing claim denials, rejections, or delays, we help speed up payment and maximize revenue recovery for our clients.
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Accurate HCPCS Coding for Durable Medical Equipment

Our billing experts are well-versed in assigning and validating HCPCS Level II codes for DME such as wheelchairs, orthotics, and diabetic supplies. We ensure proper code assignment and modifier usage aligned with the most up-to-date billing guidelines and payer rules to:

Prevent mismatches or outdated code usage
Reduce the likelihood of denials
Accurately reflect the item provided
Align with supporting documentation and medical necessity

Accurate HCPCS coding is critical to avoid claim rejections and ensure full reimbursement for both rented and purchased equipment.

Comprehensive DME Documentation Support

Insurance carriers require extensive documentation to approve DME claims. We ensure that all necessary paperwork is verified and submitted, including:

Detailed physician orders
Statement of medical necessity
Proof of delivery (POD)
Continued Medical Need (CMN)
Relevant chart notes or test results

Our team reviews all records before submission to ensure claims are fully compliant and audit-ready, reducing back-and-forth with payers.

Payer-specific DME Requirements

Every insurance provider has their own set of rules for DME coverage, including:

Frequency limits and quantity caps
Prior authorization requirements
Rental vs. purchase timelines
Approved suppliers and brands

We stay current with Medicare, Medicaid, and commercial insurer guidelines. Our verification process is customized for each payer to avoid costly errors and ensure timely approvals.

Benefits of Expert DME Insurance Verification Services

By combining accurate HCPCS coding, complete documentation, and payer-specific verification, OSI helps practices achieve:

Increased efficiency in verification processes
Reduced claim denials and delays
Timely prior authorization tracking to minimize processing lags
Enhanced accuracy in determining coverage and benefits
Time savings for practice staff, allowing you to focus on patient care
Improved cash flow through faster claim processing
Access to expert knowledge and experience in navigating insurance complexities
Minimized billing errors and compliance risks
Enhanced patient satisfaction and reduced paperwork
Ongoing AR follow-up and appeals to promptly address unpaid claims and manage denials

Benefits of Expert DME Insurance Verification Services

As a top provider of durable medical equipment billing services, we provide efficient verification solutions for diverse DME equipment such as – diabetic equipment, sleep apnea machines, walkers, wheelchairs, and more.

We can work on your existing software system by logging in through VPN or use our own billing software.

Why Choose OSI?

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DME Dedicated Expertise

Our team boasts extensive experience in navigating the complexities of insurance policies, codes, and regulations, ensuring seamless and efficient verification processes. Over the years, we have built a reputation for accuracy, reliability, and speed, consistently delivering results that exceed expectations

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Live callers

We provide a human touch by employing live callers who are expertly trained in navigating insurance complexities. Our team understands the importance of clear communication and personalized assistance in verifying DME insurance coverage. We ensure that clients receive prompt responses to their inquiries and have the opportunity to clarify any details or concerns in real time.

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Effective communication

We maintain open lines of communication with our clients throughout the verification process. From initial inquiries to the final confirmation, our team ensures that every detail is clearly explained and understood. Whether through phone calls, emails, or online platforms, we work to keep our clients informed at every step, addressing any questions or concerns promptly and professionally.

You benefit from the following when partnering with OSI:

Timely benefit verification
Proven track record
HIPAA-compliant services
24/7 professional support
QA for all departments
Faster turnaround time
Focus on accuracy, reliability, and speed

Our dedicated QA team monitors the performance of our agents in completing DME verifications and authorizations. We randomly audit the work of each of our agents to ensure they meet or exceed our 99% quality service standard.

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We serve all 50 states

Our DME Insurance Verification Process

Our DME insurance verification process involves a complete assessment of patient data and insurance coverage, followed by careful verification steps to ensure accuracy and compliance. With open communication and thorough follow-up, we streamline the process, minimizing errors and optimizing reimbursement for your practice.

1

Patient
data collection

2

Insurance
verification

3

Obtaining
pre-authorization

4

AR
follow up

5

Documentation
and reporting

Affordable & Flexible Pricing Plans

With our transparent pricing and customizable packages, you can optimize your DME insurance verification process without breaking the bank.

Full-Time Equivalent

In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.

Per Verification Billing

Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.

FTE/Per Verification Billing

This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.

AR is only FTE

In this model, you will be charged a fixed monthly or annual fee based on the number of full-time equivalent staff required to manage your practice’s AR follow-up activities. We are also considering a blended model for AR.

Healthcare and Dental Revenue Cycle Management Process

Experience the ease of DME insurance verification done right

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FAQs

What does DME Insurance Verification entail?

The process involves thorough assessment and confirmation of patient insurance coverage for durable medical equipment, ensuring accuracy and compliance.

How can your services streamline our practice workflow?

By outsourcing your insurance verification tasks to us, you’ll save valuable time and resources. While allowing your staff to focus on patient care, we handle the complexities of insurance verification with precision and efficiency.

Will your team communicate directly with our patients?

While our primary communication is with your practice, we may occasionally reach out to patients for additional information or clarification to accelerate the process, ensuring minimal disruption to your operations.

What information do you verify?

We verify critical details like patient eligibility, coverage for specific DME items, prior authorization requirements, and any applicable co-pays or deductibles.