Frequently
Asked Questions
Why
are electronic claims faster?
When
Medicare receives a paper claim, they are required to
wait at least 28 days before paying. For an electronic
claim, the minimum waiting time is 13 days. By filing
a "clean claim" electronically, your turnaround time is
improved by two weeks.
What
is a "clean claim"?
A
"clean claim" is one that has all required data, such
as valid diagnosis and procedure codes, plus any required
documentation such as Certificates of Medical Necessity.
How
long will it take to receive payments on claims?
A
"clean claim" to Medicare takes about two weeks. Medicaid
is usually faster than Medicare, and commercial claims
average about 30 days. Patient billings average 30 to
60 days.
What
does it cost?
We
normally charge a percentage of the payments we generate
for you. For more information, please contact us at 317-826-0111
x107, e-mail us,
or complete our information request
form.
Does
our company need to buy any software?
The
client is not required to purchase any computer software
or equipment. Our system is a complete electronic billing
and A/R package for DME.
As
a client, what information do I need to provide for processing
of medical claims?
You
will need to provide DME Claim Services Corporation with
the Provider EIN number, DMERC and Medicaid provider numbers
as well as the appropriate provider information for the
HMO's and/or Provider Networks, in which you participate,
so that we will have accurate billing information. There
are also a few forms to sign to authorize us to transmit
claims on your behalf.
You
are also responsible for providing appropriate patient
demographic information, including insurance ID numbers,
diagnoses, items and dates of service.
Anything
else I should know?
We
stay up-to-date on changes in the healthcare insurance
industry, and we inform our clients as we become aware
of changes that affect their business. We help our clients
maintain compliance by alerting them if we see problems
in documentation or CMN completion and by informing them
if they need to refund a payment for any reason such as
a duplicate payment.
Request
More Information
