Who it is for
DME billing where the paperwork matches the claim
Durable medical equipment (DME) claims depend on documentation: orders, medical necessity and delivery records that must match what is billed. Optimus checks that the paperwork supports each claim before it goes out, then works denials and A/R.
What is included
What you get
- 01
Documentation checks
Orders and supporting records reviewed against the claim.
- 02
HCPCS-aware scrubbing
HCPCS code and modifier checks before submission.
- 03
Prior authorization tracking
Authorizations requested and tracked where payers require them.
- 04
Denial and A/R follow-up
Denials corrected, appealed and tracked.
How it works
How we work with you
- 01
Practice assessment
We review your workflows, payer mix, goals and specialty so we know where revenue leaks before we start.
- 02
Intake and verification
Patient details and coverage are verified up front, so problems surface before the visit, not after the denial.
- 03
Claim scrubbing
Every claim is checked for CPT, ICD-10 and HCPCS coding errors before it leaves.
- 04
Electronic submission
Clean claims go out electronically. Our average turnaround is 24 hours.
FAQ
Answers before you ask
Do you bill DME claims?
Yes. Call (888) 603-0228 to scope your product lines and payer mix.
Ready when you are
Give your practice the revenue cycle it deserves
Book a demo or get a free, no-obligation billing audit. We will show you where revenue is leaking and what it would take to fix it.