EZ-DME Quick View
Electronic DME Claims Submission with EZ-DME
Bill, Track, & Reconcile Durable Medical Equipment Claims
Nothing is easier, more efficient, or more cost-effective.
- No setup costs, no monthly minimums, and no monthly fees
- Eliminate costly manual billing service fees
- Submit DME claims via the Internet
- Automate recurring rentals billing
- Work held claims or rejects
- Reconcile your DME claims
- Print CMS-1500 forms, billing statements, and CMNs
In less than a generation, 20% of the population of all Americans will be over the age 50. Meeting the population's need for home healthcare products and services will result in anticipated annual sales growth of 10-12% for years to come.
DME providers are working to deliver on-time inventory so they can maximize inventory turns to 8-12 times per year. FDS' EZ-DME provides a billing solution that gives the DME provider a way to conveniently bill for these products and services.
Using your existing pharmacy system or a secure Internet portal, FDS's EZ-DME Billing Services enables you to submit DME claims without tedious paper forms, special hardware, or special software. The process is simple, reimbursement is fast, service fees are low, and product support is prompt, personalized, and effective.
Simplicity, Speed, and Security
Simplicity
Data entry is simple and efficient. Each EZ-DME Medicare claim is verified in real time with the CMS database for information such as patient coverage and deductible balances. All EZ-DME claims go through EZ-DME's extensive pre-submission edits to maximize the accuracy of submitted claims to speed up reimbursement. EZ-DME prompts you if a claim is incomplete and unable to be processed.
Sample Primary Edits include:
- Patient ID (invalid Medicare ID format)
- Item to diagnosis comparison (e.g., diabetes diagnosis required on shoes and inserts)
- Complete diagnosis verification (EZ-DME verifies the first, second, third, and fourth diagnosis)
- Non-covered services warnings (e.g., HCPCS code A5510, etc.)
- Missing/invalid modifier codes (e.g., prosthetics requiring an RRT or LT)
- Item cannot be rented; must be a purchased or if it can be rented or sold (system can bill rented items automatically)
Speed and Security
EZ-DME's secure Internet portal provides easy access to all your DME claims. Log in with your User ID and password and work any claims being held for additional information needed such as facility information or CMN.
EZ-DME offers a complete electronic Service Bureau using NCPDP Telecommunications Standards. If you have a DME billing question or want to know what you can bill or what modifiers you should use, you can call our toll-free support desk and speak with our knowledgeable representatives who bill Medicare every day.
Service Highlights
A secure Internet site gives you information about all of your DME claims.
- Rental Claims - Rental claims are entered into the system once, and then are automatically billed monthly or according to capped rental logic where applicable.
- Secondary Claims - Secondary claims that do not crossover can be automatically sent to the secondary payor once remittance information and patient IDs have been updated.
- Rejections - Rejections from either the front end of the payor or your 835 show up in a queue with additional tips on how to fix the errors. Once fixed, these claims are resent to the payor electronically.
- Reconciliation - Reconciliation of your DME claims is automatic when an 835 is received electronically. Manual payments can also be easily applied for a full accounting of these claims.
Customer Comment
"EZ-DME has been an absolute asset to us as we have a significant volume of Medicare claims (primary and secondary) as well as other secondary claims. All of these claims involved extremely manual (some to the point of hand typing a claim form!) processes and we were facing possible timely filing limits for a large number of them.
EZ-DME has been able to assist in streamlining the processes for these claims by handling many with their "online" capability for sending claims to Medicare. They have also taken on the very manual process of handling our secondary claims (to Medicare as well as after Medicare). We greatly appreciate their professional manner. They are always very helpful with working through issues with Medicare and are always very accommodating! I highly recommend their services."
Janice Janes
Business Office Manager
Fairview Pharmacy Services
Minneapolis, MN
Reprinted with permission
