DME Billing Services

Durable Medical Equipment (DME) billing comes with its own set of rules, documentation requirements, and payer scrutiny—and even small errors can lead to costly denials. At Timberlake Services, our DME billing team understands the unique demands of this specialty and works to get your claims paid accurately and on time.

What We Handle

• Eligibility & Benefit Verification—confirming coverage and DME-specific benefit limits before equipment is dispensed
• Prior Authorization Management—securing and tracking authorizations required by payers before claims are submitted
• HCPCS Coding & Modifier Accuracy—applying correct codes and modifiers (NU, RR, UE, KX, etc.) to avoid processing delays
• Documentation Compliance—ensuring Certificates of Medical Necessity (CMNs), physician orders, and proof of delivery meet payer and CMS requirements
• Claim Submission & Scrubbing—clean claim submission to Medicare, Medicaid, and commercial payers, reducing front-end rejections
• Rental vs. Purchase Billing—correctly billing capped rental items, oxygen equipment, and purchase-based DME per payer guidelines
• Denial Management & Appeals—resolving DME-specific denials, including medical necessity and documentation-related denials
• AR Follow-Up—persistent follow-up on unpaid and underpaid DME claims to keep your cash flow steady

Why DME Billing Requires Specialized Expertise

DME claims are held to a higher documentation standard than many other specialties, with strict rules around medical necessity, delivery confirmation, and recurring rental billing. Payers—especially Medicare through the DME MAC jurisdictions—apply close scrutiny, and even minor documentation gaps can result in denials or audits. Our team stays current on DME MAC policies, LCDs, and payer-specific requirements so your practice stays compliant and your revenue stays protected.