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DMEFreeWeb - SimpleClaims for Medical Offices & DME suppliers is our Web based easy to use billing system. It is called Simpleclaims because it is really simple to use. Easy to use, Simpleclaims stores patient data, procedure codes, diagnosis codes and more! Entry is fashioned to be similar to entering data on a HCFA 1500 form so it's all familiar to you! Because this is a Web Based system you dont have to worry about upgrading software or doing backups leave that to us! Give DMEFreeWeb a test drive, today. |
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Durable Medical Equipment providers nationwide use our DMEFree software since 1987. If you billl Medicare part B, state Medicaid, Blue Cross and Commercial payers, Then you need DMEFree! DMEFree is available in 3 versions. |
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PC Solutions / DMEFree Services include: Claim processing for only $.65 per claim Medicare CMN electronically sent for DME claims. In the "loop" claim support, looking out for your submissions. Billing to Medicare, Medicaids, BlueCrosss, Medicare Advantage plans and over 1000 Commercial payers. Realtime Claim submission (Medicare & Medicaid) including eligibility checks in under 10 seconds. (optional) Medicare Flu Billing option |
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DMEFree Eligiblility software Medicare Eligibility checking offers solutions to several billing problems. You find out the patient is on a Medicare Advantage plan AFTER you billed Medicare part B. The patient hasn't met their annual deductible yet. The patient is MSP (Medicare Secondary Payer) which means you need to bill another Insurance Company before Medicare. DMEFree Eligibility Software can solve these problems! |
| Update - Expansion of Editing for Ordering/Referring |
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Update: Expansion of Editing for Ordering/Referring Physicians and Non Physician Practitioners on DMEPOS Claims The Centers for Medicare and Medicare Services (CMS) Reviews PECOS Enrollment Process - Important Dates The Centers for Medicare & Medicaid Services issued an interim final regulation on May 5, 2010 implementing provisions of the Affordable Care Act (ACA) that permit only a Medicare enrolled physician or eligible professional to certify or order home health services, durable medical equipment, prosthetics, orthotics and supplies (DMEPOS), and certain items and services under Medicare Part B. The new law applies to orders, referrals and certifications made on or after July 1, 2010. The comment period for the regulation closed on July 6, 2010. The comments will be reviewed and considered before a final regulation is issued. This has prompted numerous questions from the DMEPOS supplier community regarding when claims will start rejecting if the ordering/referring physician or non physician practitioner does not have a current enrollment record in PECOS. While the regulation took effect on July 1, 2010, CMS will, for the time being, not implement changes that would automatically reject claims based on orders, certifications, and referrals made by physicians and non physician practitioners that have not yet had their applications approved. Medicare Learning Network Matters Article 6421 indicates these edits will not be implemented until January 3, 2011. Medicare Ordering and Referring Report DMEPOS suppliers should continue to utilize the Ordering Referring Report to determine if the ordering referring physician or non physician practitioner is enrolled in PECOS, this report can be downloaded from the CMS Web site at: http://www.cms.gov/MedicareProviderSupEnroll/06_MedicareOrderingandReferring.asp#TopOfPage and contains the National Provider Identifier (NPI) and the legal name (last name, first name) of all physicians and non-physician practitioners who are of a type/specialty that is legally eligible to order and refer in the Medicare program and who have current enrollment records in Medicare (i.e., they have enrollment records in PECOS). A new file will be made available periodically and will replace the posted file; at any given time, only one file (the most recent) will be available. The CMS has also made available a list of pending initial applications currently in process in the PECOS system. Suppliers should not utilize this listing to determine if an ordering/referring physician or non physician practitioner has a current enrollment in PECOS and is eligible to order or refer but instead should simply use this report to verify that an ordering/referring physician or non physician practitioner is in the process of enrolling in PECOS. This report can also be found on the CMS Web site at: http://www.cms.gov/MedicareProviderSupEnroll/06_MedicareOrderingandReferring.asp#TopOfPage. Medicare Enrollment Guidance for Physicians that Infrequently Receive Reimbursement from the Medicare Program DMEPOS suppliers have also expressed concerns regarding orders they receive from physicians that infrequently receive reimbursement from the Medicare program, (i.e., dentists, physicians in a fellowship program). Are these providers eligible to order DMEPOS items for their patients? If so, do these providers need to enroll in the Medicare program (i.e., PECOS) for the sole purpose of ordering/referring items or services for Medicare patients? Traditionally, most physicians enroll in the Medicare program to furnish covered services to Medicare beneficiaries. However, with the implementation of Section 6405 of the ACA, some physicians need to enroll in the Medicare program for the sole purpose of certifying or ordering services for Medicare beneficiaries. The physicians do not send claims to a Medicare contractor for the services they furnish. In the process of implementing the provisions contained in the ACA, the CMS has become aware of several unique issues for certain types of physicians or practitioners. Specifically, the CMS has modified the process of enrollment to accommodate the special circumstances of the following individual physicians and practitioners: Physicians employed by the Department of Veterans AffairsPhysicians employed by the Public Health ServicePhysicians employed by the Department of Defense Tricare programPhysicians employed by Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs) or Critical Access Hospitals (CAHs)Physicians in a FellowshipDentists, including oral surgeons If DMEPOS suppliers receive questions from the aforementioned providers concerning enrollment in the Medicare program they can refer them to the Medicare Enrollment Guidance for Physicians that Infrequently Receive Reimbursement from the Medicare Program Fact Sheet for additional information. This fact sheet can be located on the CMS Web site at: http://www.cms.gov/MedicareProviderSupEnroll/Downloads/SpecialEnrollment FactsheetInfrequentPhysicianReimbursement.pdf Remember! National Government Services' Jurisdiction B DME MAC List serv is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank You! National Government Services encourages all Web site users to provide feedback regarding ways to improve our Web site. The ForeSee Results (pop-up) survey is an easy mechanism for providers to use to let us know how we can best serve you. Your comments play a large role in the enhancements that are made to the National Government Services Web site. CONFIDENTIALITY NOTICE: This E-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply E-mail and destroy all copies of the original message. 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Home Medical Equipment Suppliers throughout the US have been using the PC Solutions DMEFree software for over 20 years! Home of the 'Affordable DME Software'. For thousands less , you can have company wide data management, plus electronic billing to Medicare, Medicaid and Commercial payers. ...
If you run a Physicians office, Medical office or Billing Service take a look at our DMEFreeWeb - Simpleclaims system. This is the easiest system to use for billing Professional 1500 Medical claims. And the most affordable, no setup fees, just pay per claim as you bill. We listened! ...
