Durable Medical Equipment Billing Services

Optimize Your Practice Revenue & Billing Efficiency

Getting Started

Our Durable Medical Equipment (DME) billing services are founded on a deep understanding of the intricacies involved in DME claims. With our skilled team and efficient processes, we provide comprehensive revenue cycle management to enabling your DME business to operate smoothly and confidently.

DME Billing Services

Maximizing claim efficiency and compliance for superior revenue management

Our DME billing professionals are certified and well-versed in current industry protocols, payer policies, and billing systems—ensuring accurate, compliant, and timely claim processing for all types of durable medical equipment.


  • Certified by the American Association of Professional Coders (AAPC)
  • Proficient in industry-leading DME billing platforms and technologies

 

Durable Medical Equipment billing frequently involves intricate cases, such as recurring rentals and high-regulation items like oxygen therapy. Gedeihen Healthcare's billing specialists ensure precise coding and documentation for each equipment type—whether rented or purchased—to optimize reimbursement and reduce processing delays.


  • Distinction and accurate billing of rental vs. purchase-based DME claims
  • Proficient coding for oxygen delivery systems, mobility solutions, and home care equipment


Mastering Every Code for Durable Medical Equipment Specialty

Our expertise spans the full code range, ensuring precision and compliance in every claim we process

Wheelchair and Mobility Aids

K0001

Standard wheelchair

K0002

Standard heavy-duty wheelchair

E0940

Power wheelchair base

Oxygen and Respiratory Equipment

E0431

Stationary oxygen concentrator

E1390

Portable oxygen concentrator

Prosthetics and Orthotics

L5900

Lower limb prosthesis, below the knee

L3020

Foot orthotic, custom molded

Up to

27%

More cash collected

Up to

23%

Outstanding A/R collection

Up to

29%

Patient collections

Up to

$80 M

Charges billed last year

Medical Billing At A Glance

Explore key figures that highlight our commitment to seamless coding and optimized reimbursement.

Claims Processing Metrics

96%

First Pass Resolution Rate

Percentage of claims paid on the first submission.

23-40 Days

Average Days to Payment

Average number of days it takes for claims to be paid.

First-Pass Claim Acceptance Rate (FAR):

We consistently maintain a >96% first-pass acceptance rate, reducing delays and ensuring faster reimbursements.

Days in Accounts Receivable (AR):

Our optimized workflows help keep AR days well below the industry benchmark, improving cash flow predictability.

Clean Claim Rate:

With robust coding accuracy and claim scrubbing tools, we achieve a clean claim rate of over 95%, minimizing rework and denials.

Financial Metrics

90%

Net Collection Rate

Percentage of total charges that are collected.

30 Days

Average Denial Resolution Time

Average number of days taken to fix and resolve a denied claim.

Operational Metrics

94%

Average Claims Submitted Per Month

Volume of claims submitted.

97%

Volume of claims submitted.

Claims processed per biller per day.

Aged A/R Clearance Rate:

Measures the percentage of aged receivables (especially over 90days or above)

Reflects the effectiveness of backlog reduction efforts.

A faster resolution time means improved collections and cleaner aging reports

Unbilled Claims Backlog:

Goal: Minimal backlog—claims should be submitted within 24–48 hours of service. Impact: Directly affects cash flow and delays reimbursement.

Denial Resolution Rate:

Tracks the number of denied claims that were appealed, corrected, and successfully reimbursed. Benchmark: 63–79% resolution rate. Denial management efficiency and recoverable revenue.

Reach Us

Address

3/1159, water tank road, choolaima nagar, Thoraipakkam, Chennai - 600097.

© 2023 Gedeihen Healthcare.