Medical Billing Solutions for Healthcare Providers
Accurate medical coding services nationwide.
Reliable Credentialing Enrollment Across…
Verify patient insurance coverage, benefits…
Tracking payments, invoicing , managing…
Improve collections by insurance claim denials.
Reliable, accurate, compliant, friendly billing…
Efficient support with our Virtual Assistant services
Grow your brand, we handle your social media.
Boost your website traffic with expert SEO
Interactive e-learning to boost skills anytime, anywhere.
Get noticed online with Google Ads.
Manage patient records securely with EHR solutions.
Medical Billing Solutions for Healthcare Providers
Accurate medical coding services nationwide.
Reliable Credentialing Enrollment Across…
Verify patient insurance coverage, benefits…
Tracking payments, invoicing , managing…
Improve collections by insurance claim denials.
Reliable, accurate, compliant, friendly billing…
Efficient support with our Virtual Assistant services
Grow your brand, we handle your social media.
Boost your website traffic with expert SEO
Interactive e-learning to boost skills anytime, anywhere.
Get noticed online with Google Ads.
Manage patient records securely with EHR solutions.
Durable Medical billing services by Revex Square is where you turn when you became a durable medical equipment supplier to get patients the wheelchairs, CPAP machines, and oxygen concentrators they need, not to memorize which modifier combination gets a claim denied as unprocessable. Your day often ends with CMN paperwork, rental period tracking, and Medicare rules that punish a single wrong modifier more harshly than almost any other billing category. That's where dme billing services from Revex Square come in.
DME suppliers get paid faster and more cleanly and consistently when they work with a dme billing business that really knows HCPCS Level II coding, rather than a team of generalists that uses CPT-based billing reasoning for equipment claims. No long meetings. No reports weighed down by jargon. Just a partner that knows dme medical billing from one CPAP claim to a comprehensive complex rehab power wheelchair case.Imagine finishing your week knowing that every CMN is complete, every modifier is correctly matched to the paperwork, and every claim is already moving through the payment stream instead of sitting in a denial queue. That's the peace we bring to DME suppliers every day.
Complete billing & RCM overview for DME suppliers
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Schedule a Free DemoWe handle the billing so you can focus on your patients.
Focused, specialty-trained medical billing experience helping vascular practices improve collections and protect revenue.
Our billing team focuses on accurate claim submission, catching the small errors that turn into big denials before they ever reach a payer.
We follow every claim from submission through payment, so your practice sees revenue faster and keeps a steadier cash flow.
Our team understands HCPCS Level II coding, CMN and DWO requirements, modifier logic, and the unique challenges of DME revenue cycle management.
We simplify every step of your revenue cycle so your business can focus on serving patients.
We verify patient demographics and insurance information, including confirming supplier enrollment status and DMEPOS accreditation are current before any claim is filed.
Our team captures every billable component of the order, from the equipment itself to accessories, delivery, and rental period tracking.
Certified coders assign the appropriate HCPCS Level II codes and modifier combinations, including RR, NU, UE, KX, GA, GZ, and GY, based on whether equipment is rented or purchased and whether medical necessity documentation is available.
Clean claims are filed electronically to Medicare, Medicaid, and commercial payers for faster processing and reimbursement.
We monitor payments, track rental cap periods, follow up on unpaid claims, and actively manage denials and outstanding accounts.
Every HCPCS code, modifier, and supporting document is carefully reviewed to reduce coding errors, claim rejections, and lost revenue.
Our streamlined billing workflow helps move claims through the revenue cycle and improves your cash flow.
Comprehensive revenue cycle solutions designed specifically for DME and DMEPOS suppliers.
Accurate HCPCS Level II coding across E, K, L, and A code sets. Our certified coders apply the correct pricing and informational modifiers and review modifier combinations carefully to help prevent unprocessable claims and avoidable denials.
We verify Certificates of Medical Necessity, Detailed Written Orders, and other required supporting documentation before claims are submitted, helping reduce denials caused by incomplete, missing, or inconsistent paperwork.
We track rental periods and apply RR, NU, and UE modifiers appropriately while monitoring capped rental timelines and managing the transition from rental billing to patient ownership when applicable.
We help track prior authorization requirements for qualifying equipment, including complex mobility products, and monitor applicable competitive bidding and regional payer requirements before equipment is delivered and billed.
Our team identifies the root cause of denials, corrects billing issues, prepares appropriate follow-up, and works with payers to recover revenue from issues involving documentation, modifier conflicts, authorization requirements, and eligibility.
We monitor outstanding balances, prioritize aging accounts, follow up on unpaid claims, and maintain consistent payer communication to help accelerate reimbursement and improve your DME cash flow.
We verify patient eligibility and benefits before equipment delivery while supporting supplier enrollment requirements, including PECOS, CMS-855S, and DMEPOS accreditation maintenance.
Detailed reports provide visibility into collections, denials by equipment category, accounts receivable, claim performance, and the overall health of your DME revenue cycle.
Let Revex Square handle your DME billing while you focus on serving patients and growing your business.
Every DME supplier is different. A CPAP and respiratory-focused business has different billing needs than a complex rehab technology provider managing Group 2, 3, and 4 power wheelchairs, or an orthotics and prosthetics supplier navigating custom versus prefabricated device rules.
Revex Square provides specialized dme billing services designed around a category of billing that runs on entirely different rules than standard medical billing. DME depends on HCPCS Level II codes instead of CPT for the equipment itself, rental periods and capped allowances instead of one-time payment, and documentation requirements, like CMNs and face-to-face evaluations for items like oxygen therapy, that most other specialties never deal with.
Your business deserves more than a general billing company. You need a revenue cycle partner that understands the complexities of DME.
Our billing professionals understand HCPCS Level II coding, CMN and DWO documentation, modifier logic, and the DMEPOS supplier compliance requirements that make DME billing fundamentally different from physician billing.
Simple, transparent pricing with no unnecessary hidden fees, allowing you to understand exactly what you are paying for.
Work with experienced billing specialists who become an extension of your business and remain focused on your financial performance.
From patient registration and eligibility verification to coding, claims, denials, and A/R follow-up, we manage the complete cycle.
From claim denials to modifier conflicts, Revex Square helps identify the problems affecting your revenue and provides practical solutions.
DME denial rates run notably higher than most specialties when documentation and modifiers aren't managed carefully. We identify denial patterns, correct billing errors, and follow up with payers to recover revenue.
Our team actively tracks outstanding claims and follows up with insurance companies to accelerate reimbursement.
Incomplete Certificate of Medical Necessity documentation is one of the single biggest drivers of DME claim denials, and it's almost entirely preventable with a review process before submission.
Combining GA, GZ, or GY with KX on the same claim line causes an automatic, unprocessable denial, and using GZ instead of GA can forfeit your ability to bill the patient at all.
Certain equipment categories require prior authorization or fall under competitive bidding area rules that determine supplier eligibility by region, and missing either causes claims to be denied before medical necessity is even reviewed.
We prioritize aging accounts and maintain consistent follow-up to keep your accounts receivable under control.
Let our DME billing experts identify opportunities to improve your revenue cycle.
DME billing is the process of securing reimbursement for durable medical equipment like wheelchairs, CPAP machines, and oxygen concentrators. Unlike standard medical billing, it relies on HCPCS Level II codes rather than CPT codes for the equipment itself, and involves rental periods, capped allowances, and strict medical necessity documentation that most other specialties don't deal with.
RR indicates the equipment is being rented, NU indicates a new equipment purchase, and UE indicates a used or refurbished equipment purchase. The modifier must match exactly how the item was actually supplied, since a mismatch between the order paperwork and the billed modifier is a common denial trigger.
The KX modifier confirms that the patient meets the specific medical necessity criteria required for that equipment item, such as documented coverage criteria for a CPAP device. It signals to the payer that qualifying documentation is on file and available for audit.
No. GA, GZ, GY, and KX must never appear together on the same claim line. Doing so causes the claim to deny as unprocessable, requiring correction and resubmission, which is an entirely avoidable delay with the right claim review process.
GA indicates an Advance Beneficiary Notice was issued and the patient acknowledged they might be responsible for payment if Medicare denies the claim. GZ indicates the item isn't expected to be covered and no ABN was issued. Using GZ instead of GA when an ABN actually was signed forfeits the supplier's ability to bill the patient for that item.
A CMN is documentation, often tied to a physician's evaluation, that establishes medical necessity for certain DME items, particularly oxygen equipment and other Medicare-required categories. Incomplete or missing CMN documentation is one of the leading causes of DME claim denials industry-wide.
No, but higher-cost items like power mobility devices and certain orthoses typically do. Some equipment categories are also subject to competitive bidding area rules that restrict which suppliers can bill for them in a specific region, separate from the prior authorization requirement itself.
Certain rented equipment has a capped rental period after which ownership transfers to the patient. Billing needs to track that rental period accurately and stop billing rental charges once the cap is reached and ownership has transferred.
Yes. All billing activity is handled through HIPAA-compliant, encrypted systems with auditable access controls, so protected health information stays secure at every step of the billing process.
Our DME billing services start as low as 2.75% of monthly collections, with transparent, no-hidden-fee pricing. The exact rate depends on your order volume, equipment mix, and how much of your billing involves complex rehab, prior authorization, or competitive bidding categories, which we walk through during a free consultation.