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DME Billing

Medicare Billing for Medical Equipment & Supplies

Atlantic Healthcare Products is a proud provider of Powerchairs, Scooters, and Catheters to the Medicare community. With over 20 years of experience in the medical equipment industry, we know how to get you the best coverage possible from Medicare. We have a team of experts who are dedicated to making sure your experience with us is smooth and stress-free. And if there are any problems with your claims, we’ll take care of them ourselves! So don’t go it alone – let Atlantic Healthcare Products help you get the durable medical equipment and supplies you need. Contact us today for more information!

 

Our Medicare Billing Specialists

If you’re in need of durable medical equipment and supplies, it’s important to choose a company that specializes in Medicare billing. That’s where Atlantic Healthcare Products comes in. We have Billing Specialists on staff who will take care of all the necessary paperwork so you can focus on your health.

Our Billing Specialist spends the time necessary to secure the proper documentation for your covered durable medical equipment and supplies so that you can focus on your well being. We’ll handle insurance claims, claim processing, accuracy and timeliness – plus we’ll follow up with providers to make sure everything goes as smoothly as possible. And if there are any denied claims, we’ll take care of them too! So if you’re looking for a company that can take care of all your Medicare billing needs, look no further than Atlantic Healthcare Products. We’re here to help!

Contact Our Medicare Specialist

Durable Medical Equipment Insurance Billing Specialist

Save time, start the process online

Start your claim here to save time.

We always recommend starting the pre-qualification process online by submitting to us your insurance information and your prescription, insurance cards and state ID.

Once we have received your information, we will be in touch with you to guide you on the next steps. You are always welcome to visit our locations to start the medicare billing process. 

Start your Claim here to get Pre-Qualified

Medicare can be a complicated process, and we want to make sure that you understand what is required and what to expect.

 

Why Choose Atlantic Healthcare Products

We know that dealing with insurance can be confusing and frustrating. That’s why we’ve made it our mission to help our customers understand their coverage and get the most out of their benefits. We’re here to help you every step of the way – from submitting claims to understanding denied claims. So don’t go it alone – let us help you navigate the world of Medicare! Thanks for choosing Atlantic Healthcare Products!

We also help thousands of walk-in customers every year at our two showrooms. We can handle DME Billing because we are a durable medical equipment provider who can submit a Medicare, Private Insurance, or Workman’s Comp insurance claim, and we can even take orders over the phone. Whatever your situation, our highly trained specialists are ready to help.

 
 

Start Your Claim Here

Save time by filling out some basic patient information. We will get the process started before you get to the store.

Medicare Documentation Requirements

Click below to view or print the medicare documentation requirements to get covered.

Catheters
Medicare Catheters Near Me
Commode
Medicare Commode Near Me
Gel Overlay
Medicare Support Surfaces Near Me
Hospital Bed
Medicare Hospital Bed Near Me
Wheelchair Medicare Billing Requirements
Medicare Wheelchair Near Me
Power Wheelchair Medicare Billing
Medicare Power Wheelchair Near Me
Scooter Medicare Billing
Medicare Scooter Near Me
Walker
Medicare Walker Near Me

Medicare Claim Documentation Requirements

Below you will find the patient requirements to get your Medicare Claim approved.  Print a copy of the requirements for your medical provider.

Catheters – Medicare Billing Document Requirements

Catheters - Medicare Billing Requirements Start Medicare Claim

Reducing Support Group I – LCD Coverage

For an item to be covered by Medicare, the supplier must receive a detailed written order (DWO) before submitting a claim. If the supplier bills for an item addressed in this policy without first obtaining the completed DWO, the thing would be denied as not reasonable and necessary.

For some items in this policy to be covered by Medicare, a written order before delivery (WOPD) is required. Refer to the DOCUMENTATION REQUIREMENTS section of this LCD and the NON-MEDICAL NECESSITY COVERAGE AND PAYMENT RULES section of the related Policy Article for information about WOPD prescription requirements.

A Group 1 mattress overlay or mattress (E0181-E0189, E0196-E0199, and A4640) is covered if one of the following three criteria are met:

  1. The beneficiary is completely immobile – i.e., the beneficiary cannot make changes in body position without assistance, or
  2. The beneficiary has limited mobility – i.e., the beneficiary cannot independently make changes in body position significant enough to alleviate pressure and at least one of conditions A-D below, or
  3. The beneficiary has any stage pressure ulcer on the trunk or pelvis and at least one of the conditions A-D below.

Conditions for criteria 2 and 3 (in each case, the medical record must document the severity of the condition sufficiently to demonstrate the medical necessity for a pressure reducing support surface):

A) Impaired nutritional status

B) Fecal or urinary incontinence

C) Altered sensory perception

D) Compromised circulatory status

When the coverage criteria for a Group 1 mattress overlay or mattress are not met, the claim will be denied as not reasonable and necessary.

The support surface supplied for the beneficiary should be one in which the beneficiary does not “bottom out.” Bottoming out is when an outstretched hand, placed palm up between the undersurface of the mattress or cushion and the beneficiary’s bony prominence (coccyx or lateral trochanter), can readily palpate the bony prominence.  

 

PATIENT PRE-INTAKE FORM

 

Urological

Urology supplies, such as catheters and drainage bags, can be expensive.  In fact, a monthly supply of catheters alone can cost up to $200.  But if you have Medicare (or are eligible for it), then this is a cost that can be avoided.

REQUIREMENTS

PRE-INTAKE FORM

Commodes

In order for Medicare benefits through Part B cover medical equipment (DME) to apply to the coverage of a commode chair, a Medicare recipients are prescribed a commode chair by an approved doctor must order it from Medicare-contracted supplier.

REQUIREMENTS

PRE-INTAKE FORM

Wheelchair

Medicare benefits cover manual wheelchairs, power scooters, and power wheelchairs.  You must have a face-to-face examination and a written prescription from a doctor or other treating provider before Medicare helps pay for a wheelchair.

REQUIREMENTS

PRE-INTAKE FORM

Hospital Beds

DME 

REQUIREMENTS

PRE-INTAKE FORM

Scooter

Medicare Part B (Medical Insurance) covers durable medical equipment (DME).  Medicare helps voer DME if the doctor treating your condition submits a written order stating that you have a medical need for a scooter.

REQUIREMENTS

PRE-INTAKE FORM

Orthopedics

Shoe orthotics are categorized by Medicare as Durable Medical Equipment or DME.  They may also be classified as Durable Equipment Prosthetics, Orthotics, and Supplies or DMEPOS.  Your shoe orthotics may fall under the DME or DMEPOS benefit which means Medicare will generally cover 80 percent of the approved cost.

REQUIREMENTS

PRE-INTAKE FORM

 

 

Two Convenient Locations:

West Palm Beach

Riverbridge Shopping Center
6782 Forest Hill Boulevard
West Palm Beach, FL 33413

Monday – Friday from 9AM – 5PM
Saturday from 10AM – 3PM
561.964.6767

Boynton Beach

Boynton Trail Shopping Center
9832 South Military Trail G1
Boynton Beach, FL 33436

Monday – Friday from 9AM – 5PM
Saturday from 10AM – 3PM
561.733.2331

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