DMESolz offers systematic steps of insurance eligibility verification which are applied by the DME suppliers in verifying the services of coverage, benefits and payer requisites to be met before the services are rendered. The patient coverage front-end validation helps in reduction in claim refusals, payment delays, and unnecessary compliance risks with Medicare, Medicaid and non-government plans.
To have a reputation of being a reliable provider of the eligibility verification services through offering reliable served, compliant and scalable verification services specific to the DME industry.
To serve and support DME providers with compliant and workflow efficient insurances eligibility checks with the intended purpose to reduce billing risk, avoid unnecessary rejection, and reinforce the revenue cycle performance.
DMESolz offers full and regulation-compliant orchestrated services of eligibility checks to enable DME suppliers be appropriately covered and to possess visibility on the payment. Our check procedures are tailored to meet the requirements of the payer and minimise the contentious incidences in the downstream billing.
Prior to the fulfillment of an order, we perform extensive patient eligibility check as part of checking the active coverage, plan status, active dates and limits of the benefit.
Our unit verifies deductibles, produces co-insurance and co-payments, qualifies rentals against purchases and justifications under coverage by use of a payer validated treatment based on insurance verification steps.
We either validate documentation rules, LCD/NCD to be there or not and payer input in order to help in compliant billing and reduction in claims rejection.
We have a mission to engage in compliance-based, quality, and timely insurance verification to the DMEs in the United States with patients. Our developed eligibility checking processes with regard to our patients aim at achieving the payer policies, coverage rules, and documentation needs- help the suppliers manage the administrative errors and can operate confidently.
Every check will be premised on CMS and payer cover requirements, and HIPAA requirements.
The way our insurance check-up procedures are done is based on avoiding insurance denials before they occur.
We are specialists in the needs of the DME eligibility, documentation policies and payer policy.
Constant communication, recorded verification reports and consistent turnaround times.
Meet our team to recommend on your current verification procedure and payer mix and denial trend in relation to mistakes in the execution of the eligibility process.
We create an automated system of insurance eligibility check that, as per, aligns with your operational needs and payer needs.
Our specialists would complete verification processes, maintain accuracy rates, and provide conceptual enhancement as you utilize the eligibility partner.
Being a subsystem of the CMS structure, Medicare, Medicaid, and commercial payer structure, DMESolz adopts the necessary regulatory frameworks to ensure that every procedure of eligibility verification does not go against the regulations. Our practice of proper documentation, HIPAA security, and statutory payer policies has become our priority in our practice, making the exposure to compliance and billing risks less significant.
Preciseisv-eligibilityverify- Verify identifies the coverage, benefits and payer rules before billing, helps to remove refusals, underpayment and compliance issues.
Yes. Similarly, our insurance verification as services cover Medicare, Medicaid and commercial payers and is compliant with payer-specific coverage and documentation.
We comply with CMS, payer policy, HIPAA standards and have extensive documentation of regulation compliance to enable preparation of audit and billing compliance.
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