eSolutions Introduces Same or Similar Processing for DME

OVERLAND PARK, Kan. (August 25, 2020)—eSolutions, a health care technology company, is adding an enhancement to its Durable Medical Equipment (DME) Eligibility platform that allows DME providers to check for same or similar equipment items on multiple patients at once. This new enhancement, called Same or Similar Batch, 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. 

eSolutions added the Same or Similar Live enhancement to its Eligibility platform in March 2020, and it has already delivered a major return on investment to several DME provider clients. eSolutions’ 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’ Same or Similar Live and Same or Similar Batch enhancements a major benefit to providers. 

If DME providers fail to check HCPCS codes for same or similar, they risk denials or write-offs. According to the Centers for Medicare & Medicaid Services (CMS), more than half of all DME claim denials are caused by providers’ failure to check for same or similar. The other half of denials are usually eligibility related. No DME provider wants to risk billing Medicare for equipment that won’t be covered. Yet checking HCPCS codes for same or similar is cumbersome because there hasn’t been an easy, automated way to check billing history for same or similar codes. 

“eSolutions’ DME provider clients asked, and we delivered. Our new Same or Similar Batch enhancement streamlines and automates the burdensome same or similar verification process, and it can now easily handle checking multiple patients at one time,” said Chris Hart, eSolutions’ Chief Product and Strategy Officer. “eSolutions is committed to improving and strengthening the reimbursement cycle for DME providers so they can increase time to payment, improve cash flow and eliminate costly denials.” 

Visit esolutionsinc.com for more information.