Medicare Procedures for DMEPOS
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Medicare Procedures for 
DMEPOS
Medicare is an insurance program, offered by the federal social 
committee and popular among DME billing companies and 
customers as well. It focuses primarily on older and disabled 
people. Medicare holds a share of 21% in terms of U.S healthcare 
expenses and 17.8% of Americans based out of the U.S have 
been covered by Medicare. Therefore, most of the DME billing 
companies first prefer enrolling in insurance programs offered by 
Medicare.
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If you are a new DMEPOS supplier, you should definitely 
register your business with the Medicare enrollment application 
to become qualified to get paid for insured customers through 
Medicare. This blog takes you through the complete Medicare 
procedures for DME billing and how it is effective as well.
The application form provided by Medicare requires you to fill 
in all the information about you and secures only the needed 
documentation. This cross check’s your eligibility criteria 
before you apply for DMEPOS with Medicare and then allows 
you to enroll in the program.
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How to enroll in Medicare?
The Medicare enrollment process is very simple and 
quick as well.
• First, the National Supplier Clearinghouse (NSC) initiates and 
progresses your enrollment application and proceeds with 
the verification of your information.
• In case NSC asks for more information in the due course, 
you should be in a position to provide the same.
• You should respond to the mail requests sent by NSC 
immediately; showing a delay in response can lead to 
further delay in your enrollment.
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After you are being given the ‘welcome letter’, you work in 
collaboration with insurance providers. You will be in the 
priority list of patients in contrast to unregistered healthcare 
providers. Additional benefit of reimbursement will also attract 
patients to your door.
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Enrollment process
The following procedure is for becoming a DMEPOS (Durable 
medical equipment, Prosthetic, Orthotics, and Supplies) supplier. 
• Step 1: The applicant fills and submits the Medicare enrollment 
application form and the respective documents to the NSC.
• Step 2: The NSC validates the application and carries out a site 
visit to ensure and mark compliance with all DMEPOS supplier 
standards.
• Step 3: Once the verification is complete, the NSC informs the 
applicant through mails about the status of their decision 
towards the applicant’s enrollment application.
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If you have any information to be changed in the Medicare 
enrollment application form, you should inform the NSC within 
30 days of applying. You do not have to grab a new enrollment 
form; instead, you can make use of your existing application 
form and mention, highlight the changes alone.
Before we get close to the final step in the Medicare program 
enrollment procedure, you must know about the term 
Participation. Participation is more or less similar to accepting 
assignment of claims every time for all services you offer to 
beneficiaries of Medicare. It also ensures that you collect 
payments as one-time and do not claim other than Medicare 
deductible or coinsurance of the beneficiary if any. Though you 
agree to the point of participation or not, according to the 
Social Security Act, Medicare expects you to submit claims for 
its beneficiaries without fail.
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The participation benefits you in several ways. As a DMEPOS 
supplier, you receive the payments directly from Medicare 
because they are all assigned. The claim information is 
transferred to Mediated insurers i.e. for medical supplemental 
coverage.
Medicare enrolment and registration
The standard healthcare transactions in recent times are 
controlled by the National Provider Identifier (NPI) over the 
healthcare provider identifiers. So it becomes an unleveraged 
rule for DMEPOS suppliers to acquire the NPI before they 
intend to enroll in Medicare programs. Only if you do this, you 
will be able to bill and be paid for services offered to Medicare 
beneficiaries.
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Conclusion:
24/7 Medical Billing Services is one such company that tops 
when it comes to DME billing and coding, helping independent 
doctors, nursing homes, hospitals across the United States, by 
handling their medical billing effortlessly and efficiently. The 
best part with 24/7 is they are experts in Credentialing, A/R 
Follow up and denial management services across the nation.
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billing-services-at-only-usd-8-per-hour/
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ABOUT US
• We are a medical billing company that offers ‘24/7 Medical Billing Services’ 
and support physicians, hospitals, medical institutions and group practices 
with our end to end medical billing solutions. We help you earn more 
revenue with our quick and affordable services. Our customized Revenue 
Cycle Management (RCM) solutions allow physicians to attract additional 
revenue and reduce administrative burden or losses.
• Our company was founded in 2005 and is now a leading organization of 
highly motivated and certified coders & billers in the US medical billing 
industry. Our current employee strength is 500+ and we have ambitious 
plans to grow more rapidly.
• As a leading Medical Billing Outsourcing Company we take care of the 
complete setup & enrolment in about one to four weeks time depending on 
the complexity of the project. We have certified trainers with 10+ years of 
experience to train the newcomers so they can get acquainted with the 
specialty jargons & stay updated with the recent coding developments.
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CONTACT US
24/7 Medical Billing Services
16192 Coastal Hwy,
Lewes, DE – 19958
USA
Phone no : 
+1 888-502-0537
Email Address :
[email protected] 
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