eSolutions has added a new enhancement to its Durable Medical Equipment (DME) Eligibility Platform called DME Same or Similar. This enhancement verifies all Medicare HCPCS codes, including A, L and V codes, for same or similar equipment items. This ultimately helps DME providers prevent denials, decrease write-offs and improve cash flow.
For providers, navigating DME payment is complex and costly. DME providers often get frustrated with Medicare reimbursement rules, especially when it comes to checking HCPCS codes for same or similar items. Same or similar denials happen when providers submit a claim for an item that a Medicare beneficiary already rents or owns, and the item is still within its standard reasonable and useful timeline, which is usually about five years. Checking HCPCS codes for same or similar is cumbersome because there often isn’t an easy way to check Medicare billing history for same or similar items.
eSolutions’ new DME Same or Similar enhancement changes that. Our Medicare expertise and direct connection to Medicare and Medicare Administrative Contractors (MACs) allows the enhancement to fully automate HCPCS code verification. While most programs DME providers use to manage their billing can check for HCPCS codes like E, B and K, most lack the technology to additionally verify A, L and V codes. This makes eSolutions’ enhancement a major benefit to providers.