How to bill for Wheel Chairs, Walkers, or Crutches
                     HOW TO BILL FOR WHEEL CHAIRS, WALKERS, 
OR CRUTCHES
Wheel chairs, walkers, and crutches relate to durable medical 
equipment (DME) billing category and require certain 
procedures to follow before and during billing. Most of the 
insurance providers may not cover DME supplies under any 
policy. Even Medicare covers only some equipment, which do 
not come under mobility, only on periodic circumstances. Yet, 
there are companies that provide coverage for DME supplies like 
Wheel chairs, Walkers, or Crutches but with following a stringent 
procedure. This article can help you with providing the piece of 
information you need to know for billing DME supplies.
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[email protected]         https://www.247medicalbillingservices.com/          888-502-0537
Requirements to be fulfilled for DME billing:
•To check whether your DME is eligible for coverage, you need to provide a prescription 
stating rent or purchase of the equipment, accordingly.
•There are certain items that you can only rent and cannot purchase. This comes under 
capped rentals, and based on the usage of equipment, the coverage depends as well.
•The rules may vary from one insurance provider to another. Certain companies do not 
encourage straight purchase of DME, but some may expect the DME to be rented first 
and then purchased. So depending on whom you tie-up with, follow the procedure 
properly.
•You should fill the CMS-1500 claim form (version 08/05) for claiming the DME bill.
•Provide the right HCPCS code to bill your relevant DME supplies. Make sure it includes 
but not limits to NU, RR, etc.
•Once you enter the procedure code, ensure you mention the maintenance and repair 
modifier codes.
•Before you submit all your claims, check whether you have provided detailed 
description of services provided.
•In case you do not have or find the right code for DME billing, use the code E1399 or 
any other miscellaneous HCPCS code. But while mentioning so, you should provide 
additional documentation for such DME claim if you enter miscellaneous codes.
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The documentation should contain the following checklists before 
submitting the DME claim.
Provide neat and complete description of DME claim you wish to proceed.
If you are making the claim for the first time, enclose the factory invoice of the 
item. If it is proper, you should also get a certificate of medical necessity form 
duly signed by the physician. Note that you cannot include catalogues or retail 
price listings for additional documentation, since it cannot be accepted.
Avoid stapling the documentation to the claim form.
Submit all hand-written/hard copies of initial claim form to confirm that all 
documentation reaches for claim at a time.
Note that additional documentation cannot be transferred if you have submitted 
your initial claim electronically.
Individual guidelines are available for every activity that you take up with your 
DME. Be it for purchase, rental, and reimbursement of DME, you should follow 
certain formal procedure. Before you purchase a DME, you should be aware 
whether it gets covered under insurance, and if so, you can keep documenting 
everything for the purpose of DME billing. If you opt for any DME add-ons or 
upgrades, it has a separate procedure for claims as well. Keep yourself updated 
for knowing latest changes or inclusions in the DME billing procedure in the 
future, which can avoid re submissions or mistakes while submitting the claim 
form.
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Conclusion:
If you have any trouble with your DME billing/claims, 
you can approach 24/7 Medical Billing Services and 
get it resolved. We offer free consultation on any 
process related to DME and keep you away from 
confused state if any. 24/7 MBS is renowned for its 
high-quality and reliability in providing DME billing 
services and successful through achieving client 
satisfaction across.
[email protected]             https://www.247medicalbillingservices.com/        888-502-0537
ABOUT US
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support physicians, hospitals, medical institutions and group practices with our end to 
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affordable services. Our customized Revenue Cycle Management (RCM) solutions 
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the recent coding developments.
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CONTACT US
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Lewes, DE – 19958
USA
Phone no : 
+1 888-502-0537
Email Address :
[email protected] 
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