If you’re reading this, you’re probably considering outsourcing your DME billing to an experienced DME billing company. There are many benefits to outsourcing this part of your program, including:

  • Reduced Time– Outsourcing your DME billing will reduce the amount of time you and your staff spend on filing and monitoring claims, combing through, and resubmitting rejected claims, and keeping up with changing DME billing standards.
  • Increased and Faster Insurance Payouts– A team of experienced billing experts should improve your net collection rate, and constantly monitor any billing issues that need correcting.
  • Reduced Costs– DME billing experts eliminate the costs associated with training and maintaining inventory. 
  • Ensured Compliance– As experts in the field, DME billing companies can help watch for issues and advise on how to maintain DME compliance.
  • Higher Patient Satisfaction– Taking an extra task off your team’s plate allows them to focus more on taking care of patients. Additionally, faster insurance payouts ensure patients have what they need without delay. 

While these are all benefits your practice should incur when partnering with a DME billing company, it’s important to ask specific questions to ensure you find the best fit.

1. What is the DME billing company’s average net collection rate?

Your practice’s net collection rate is a performance metric that indicates how successful your DME billing process is. The percentage measures how effective your practice is at collecting all forms of reimbursement for services and equipment provided. 

While most office-based, in-house DME programs collect on around 60% of insurance claims, 95% is considered ideal. Any collection rate lower than that indicates that a practice is losing money and should reevaluate its DME billing process. That’s why, when outsourcing to a DME billing company, it’s important to review their average. 

You also need to consider how long it takes a DME billing company to bill and collect on claims. Cash flow is extremely important for a DME program, so having money tied up in inefficient or rejected claims is unacceptable. 

2. Can my practice still access the product lines they prefer?

Many practices, when first starting their own DME program, enter agreements with DME product lines, and then find themselves locked into those agreements unable to branch out to other product suppliers.

This has a negative impact on DME programs for several reasons:

  1. A DME supplier may increase their pricing, and this will eat into your revenue.
  2. DME from non-DME compliant suppliers may not be covered by insurance companies, meaning that patients might have to pay out of pocket for their supplies.
  3. Product quality may decrease over time.
  4. Your current DME supplier may not have exactly what you’re looking for, but you aren’t able to shop around for the best solution possible.

Your DME billing and revenue management solution should give you the ability to both maintain your relationships with your current DME suppliers and give you access to a wide range of other product lines. In fact, look for DME billing companies that evaluate and vet vendors constantly for DME compliance, while providing you guidance about choosing the right vendors.

3. Does this company offer a full-stack DME billing solution?

For a full-stack, streamlined DME solution, the partners you’re considering should provide: 

  • Complete product, inventory, and supply chain management
  • Compliance reviews and support from DME compliance professionals
  • Real-time reports and analytics that show you exactly how to improve your DME program
  • DME-specific software
  • Training for your staff, so they can understand how to efficiently meet DME compliance standards and collect the information necessary to get prior authorization requests and insurance claims approved the first time they’re sent off to insurance payors

The Best DME Billing Solution

Whether you’re just looking for a DME billing provider or a full-stack DME program manager, you’ll find exactly what you need by partnering with SelectOrtho. 

As your practice’s in-house partner, you’ll get access to all available DME manufacturers and products. We’ll also provide expert inventory management and optimize your DME billing and compliance with our specially designed software. 

We provide training on how to use our software and best DME practices, and larger practices can even incorporate our on-site clinical experts. 

Our DME Service Line™ approach is the gold standard in DME program management. Take advantage of SelectOrtho’s optimized workflow by incorporating aspects of our streamlined solution into your own practice. Or, let our team of DME experts take full control of DME management while showing you transparent analytics on how your DME program is performing and how we can make it better.

SelectOrtho ensures access to the best products, highest collection rates, and happier patients.

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