BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM Medical coding
🟢 DME Billing Services
Comprehensive DME Billing Services – Enhance Revenue with Precision
Elevate your Durable Medical Equipment (DME) business with our specialized DME Billing Services
Schedule a Call8,750
Total Claims Processed
$5.1M
Total Revenue Billed
6.8%
Denial Rate
Overview
DME Billing Services: Elevate Your Revenue with Precision
By fusing technology with expertise, we offer a powerful billing platform that scales with your practice, remains vigilant on regulatory mandates, and continues to innovate for better profitability
Core DME Billing Services & Features
• Eligibility Verification & Prior Authorization of products • Patient Demographics Entry and Order Entry • HCPCS Level II Coding & Modifiers • Claims Submission to payers • Payment Posting & Reconciliation • Accounts Receivable & Denial Management • Credit Balance Resolution
Key Benefits of ASP‑RCM Solutions
• 97% Net Collection Rate – We help practices recover the maximum possible revenue • 35 Days AR Reduction – Our efficient processes shorten the time claims spend in Accounts Receivable • Lower Denial Trends – Thorough claim scrubbing and appeals lead to industry‑low denial rates • Seasoned in Rental Order Billing – Expertise in complex rental billing scenarios for DME item
Optimized DME Billing Solutions: Efficiency, Compliance, and Growth
Our refined workflows address every phase of DME billing to increase speed and accuracy: • Comprehensive Order Entry • Preauthorize Your Orders • Streamlined One‑Touch Claims • Payment Posting Reconciliation
Accelerated Cash Flow and Patient‑Focused Tools
• AI-Driven RCM: Real-time AR assessments with dynamic queues for denials, resolutions, and appeals • Automated Patient Invoicing: Streamlines payments, reducing confusion and accelerating collections • Customer Support: Patient coordinators enhance satisfaction with DME solutions
Business Reporting & Insights: Comprehensive and Customized
ASP‑RCM’s Analytics and Dashboards provide on‑demand reports covering billing performance, inventory levels, shrinkage, AR timelines, and more. Our insights empower your team to make data‑driven decisions that optimize both revenue acceleration and patient care quality
Operations
Accelerate Your Collections with Our Post‑Billing Processes
Is your top goal reducing bad debt and uncollectible claims? Our structured Accounts Receivable strategy identifies and rectifies denials promptly maximizing your net collections and keeping your revenue cycle healthy
Comprehensive Order Entry
We ensure strict adherence to CMS mandates and employ automated workflow tools that minimize paperwork delays, ensuring a quick transition from product dispensing to billing
Preauthorization & Revenue Security
Through electronic prior authorization, we verify coverage requirements before dispensing DMEPOS items. This proactive approach prevents billing setbacks and ensures suppliers meet all compliance rules pre‑delivery
Payment Posting Reconciliation
By uniting automated and manual cash posting with daily deposits, we provide transparent reconciliation for each transaction. This reduces errors, accelerates revenue posting, and boosts financial clarity
Accelerated Cash Flow in the Revenue Cycle
Our AI‑based modules offer real‑time AR assessments, dynamically routing claims for resolution or appeal. This cuts down on denial backlogs and keeps your revenue cycle healthy and moving
Patient‑Focused Tools & Seamless Support
From automated invoicing to dedicated patient coordinators, we prioritize clarity and ease. Patients benefit from simplified billing statements, while our support teams promptly resolve queries—bolstering satisfaction and payment compliance
Business Reporting & Insights
ASP‑RCM’s advanced analytics dashboards deliver 360‑degree visibility into billing metrics, inventory control, AR performance, and patient experience metrics. This holistic oversight drives continuous process improvement and revenue optimization
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have securely received your patient and encounter data, we code, review, and submit claims to payers. We manage appeals and denials, track payments, and provide regular updates. Our process is designed to be efficient and transparent.
Our certified coders and billing specialists review every claim carefully. We use quality‑control checks, regular coding audits, and payer‑specific validation to reduce coding errors and the risk of denials.
Our denial‑management team reviews each denied claim to identify root causes. We correct issues, resubmit claims promptly, and, when needed, pursue appeals with payers to maximize reimbursement.
We offer flexible pricing tailored to client needs — including fixed fees, per‑claim pricing, or percentage‑of‑collections models depending on volume and services required. Contact us for a custom quote.
Yes. We specialize in seamless transitions from in‑house systems or other vendors. To ensure secure data migration, our team works closely with you and provides training as needed.
Resources
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Ready To Get Started
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