FAQs ... Frequently Asked Questions
Important Questions for Billing Services
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About EZ-DME
I pay only pennies for my service now. Why should I change?
Perhaps you're not getting the services and assistance you need to maximize your reimbursements. Test your current service with the remaining questions.
What is my submitters core business?
DME claims processing is EZ-DME's only business. EZ-DME is available by FAX, toll-free phone, e-mail, FedEx, or US Mail. Convenient, fast, and efficient, EZ-DME provides complete customer service for all of your DME billing needs.
How does the EZ-DME process work?
- EZ-DME enables you to submit any Medicare Durable Medical Equipment (DME) claim through your pharmacy systems, just like you submit to any Third Party (PCS, Blue Cross, etc.). You may also create and manage claims through FDS' secure EZ-DME Internet portal.
- EZ-DME does extensive edits to check the information you send. If the claim passes these edits, EZ-DME converts the claim to the format required by the four DMERCs, then sends the claim that same night.
- The DMERC sends EZ-DME a report that tells us if they accepted or rejected the claim for processing. You login to our secure Internet site to perform the backend services such as claims needing more information, secondary submissions, rejections, and reconciliation.
How do I get my system to do it?
- Call your pharmacy software company and tell them to set up the 'pay plan' on your system. Our BIN number is ‘007895’.
- If your pharmacy software provider does not have the information, tell them to call FDS to obtain the specifications needed to set up your system.
Do I have to use a particular switch?
- FDS accepts claims through all the switching companies and the Internet.
Does EZ-DME keep records of what I sent?
- Only for our records. Each store is responsible for its own Medicare DME claim documentation.
About Claims
If I have a billing question, what information do I need for the claim?
EZ-DME provides you with a toll free number to use for any billing question. Our representatives have years of experience and will gladly work to help you in any way. EZ-DME's knowledgeable staff is available Monday through Friday, from 8:00 AM to 5:00 PM Central Time to help you get the information you need to submit claims that are correct the first time.
What is my reject rate?
Freedom Data Services' reject rate is less than 2% and Freedom processes rejected claims to completion for those claims that need further handling.
Can I submit claims for any DME item or just items on an approved list?
Freedom Data Services' extensive capabilities and diligent attention to Medicare's policies and regulatory changes mean that you can bill any DME item with one of EZ-DME's Levels of Service. Visit EZ-DME's Service Plan page to learn about levels of service.
If documentation says Days Supply is not needed, can I put it in anyway?
- Yes. The Days Supply is used for spanning dates when required by Medicare. FDS calculates the ‘to’ date when needed by using the service date plus the days supply dispensed.
How do I know which type of claim I have?
- Basic Claims - Basic claims need no additional information before submission to Medicare.
- Intermediate Claims - Most Intermediate claims need only a minimum of additional information, such as a nursing home name or a brief narrative. Some may require a Certificate of Medical Necessity (CMN) to be sent along with the claim for processing by the DMERCs.
About Reimbursement
How fast do I get paid for claims?
FDS' attention to detail means that Medicare claims are routinely reimbursed within 17-21 days.
Whom does Medicare pay?
- Payments go directly to you or to the patient, depending on your assignment choice. FDS bills you separately for processing charges at the end of the month.