Durable Medical Equipment Billing

Who We Serve for DME Billing

EZE Medical Billing Services provides durable medical equipment (DME) billing from our office at 11100 Apache Avenue NE in Albuquerque NM 87112.

Who we serve: DME suppliers and providers that bill HCPCS coded equipment and need CMN documentation and prior authorization handled.
Where we serve: Albuquerque and all of New Mexico. We also serve Santa Fe · Las Cruces · Rio Rancho and providers in other US states.
Payers we bill: Medicare · Medicaid · commercial health plans
What you get: A dedicated account manager. Weekly claim reports. A signed Business Associate Agreement for HIPAA.

Call +1 505 903 2759 or email info@ezemedbills.com to book a free billing audit.

Durable Medical Equipment (DME) Billing Made Easy

At Eze Medical Billing Services , we specialize in Durable Medical Equipment billing services that help suppliers and healthcare providers get paid faster and with fewer errors. Our expert team handles everything from documentation checks to claim submission and follow-ups so you can focus on delivering quality care and equipment while we manage the billing process smoothly and efficiently.

Our Process

How Our Process Works

We follow a step-by-step process to make your DME billing smooth, fast, and accurate. Our goal is to help you get paid on time without any confusion or delay.

Patient & Insurance Verification

We confirm patient information and check insurance eligibility before starting the billing process.

Patient & Insurance Verification

We confirm patient information and check insurance eligibility before starting the billing process.

Medical Document Collection

We collect all necessary prescriptions, charts, and supporting documents needed for claim approval.

Medical Document Collection

We collect all necessary prescriptions, charts, and supporting documents needed for claim approval.

Accurate Coding of DME Items

Our experts assign the correct HCPCS codes to ensure claims are processed without errors.

Accurate Coding of DME Items

Our experts assign the correct HCPCS codes to ensure claims are processed without errors.

Claim Preparation & Submission

We prepare the claim with all required details and submit it electronically to the insurance company.

Claim Preparation & Submission

We prepare the claim with all required details and submit it electronically to the insurance company.

Real-Time Claim Tracking

We track the claim status daily and make sure it moves through each stage without delay.

Real-Time Claim Tracking

We track the claim status daily and make sure it moves through each stage without delay.

Denial Handling & Resubmission

If a claim is denied, we identify the reason, correct it, and resubmit the claim quickly.

Denial Handling & Resubmission

If a claim is denied, we identify the reason, correct it, and resubmit the claim quickly.

Payment Posting & Reconciliation

Once payment is received, we post it to your account and match it with the billed amount.

Payment Posting & Reconciliation

Once payment is received, we post it to your account and match it with the billed amount.

Monthly Reporting & Review

We send you easy-to-read reports showing collections, pending claims, and overall billing performance.

Monthly Reporting & Review

We send you easy-to-read reports showing collections, pending claims, and overall billing performance.

Durable Medical Equipment (DME) Billing Made Easy

We bill for a wide range of home medical equipment and supplies. This includes wheelchairs and power mobility devices along with hospital beds and patient lifts. We also handle oxygen concentrators and CPAP or BiPAP machines. Our team bills for walkers and canes plus orthotics and prosthetics as well as diabetic supplies and nebulizers. Each item has its own coverage rules and our billers know them well.

Why DME Billing Needs a Specialist Team

DME claims follow different rules than physician claims. They run on HCPCS Level II codes and need modifiers that show whether an item is new or rented or used. Many items fall under capped rental rules where Medicare pays monthly for up to 13 months before ownership moves to the patient. Oxygen equipment follows its own 36 month rental cycle. One missing modifier or an expired order can stop payment for weeks.

HCPCS Coding and Modifiers

Our coders assign the right HCPCS code for every item and add the correct modifiers such as NU for new equipment and RR for rentals. We apply KX when coverage criteria are met and use KH or KI or KJ to track each month of a capped rental. Correct modifiers are one of the fastest ways to cut DME denials.

Orders and Medical Necessity Documents

Every DME claim needs a valid Standard Written Order from the treating practitioner. Some items also need a face to face visit note or prior authorization before delivery. We check each order for required elements before billing so your claim is backed by clean records from day one.

Proof of Delivery and Audit Readiness

Medicare expects suppliers to keep proof of delivery for every item. We make sure delivery slips carry the patient signature and date along with item details. This protects your revenue if a DME MAC or RAC audit ever comes your way.

Results You Can Expect

Practices that work with EZE Medical Billing Services see a 98% clean claim rate and up to 90% recovery on denied claims. Our clients also report a 50% drop in denials and a 37% lower cost to collect. You get weekly reports that show exactly where your money stands.

Why DME Suppliers Choose EZE Medical Billing Services

We work only in medical billing and revenue cycle management. Our billers stay current with DME MAC updates and CMS policy changes so you do not have to. Whether you run a small local supply store or a multi location DME company we scale with your claim volume. Call us at +1 505 903 2759 to book a free DME billing audit.

Frequently Asked Questions

What is DME billing?

DME billing is the process of submitting claims to Medicare and Medicaid and private payers for medical equipment used at home. It uses HCPCS Level II codes and requires orders and delivery proof for each item.

How is DME billing different from regular medical billing?

Regular billing mostly uses CPT codes for services. DME billing uses HCPCS Level II codes along with rental modifiers and capped rental tracking. It also needs documents such as a written order and proof of delivery.

What causes most DME claim denials?

The most common causes are missing or incomplete orders and wrong modifiers. Other causes include lack of medical necessity records and missing prior authorization.

Do you handle Medicare DME claims?

Yes. We bill all four DME MAC jurisdictions and follow current CMS rules for DMEPOS items.

How much do DME billing services cost?

Pricing depends on your claim volume and equipment mix. Most clients pay a small percentage of collections. Contact us for a free audit and a custom quote.

Why should I outsource DME billing services?

Outsourcing DME billing services saves you the cost of hiring and training an in-house billing team. You get certified billers who track DME MAC updates and payer rules every day. This means fewer denials and faster payments while your staff stays focused on patients and deliveries.

Can you bill for capped rental and oxygen equipment?

Yes. We track every month of a capped rental item and apply the correct KH or KI or KJ modifiers so no payment is missed. We also manage the 36 month rental cycle for oxygen equipment and bill for oxygen contents after the rental period ends.

How do you reduce DME claim denials?

We check patient eligibility and review every order before a claim goes out. Our coders confirm HCPCS codes and modifiers and make sure prior authorization and proof of delivery are in place. If a claim is still denied we find the cause and fix it before we resubmit it.

Get in Touch

Let’s Talk About Your Billing Needs

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