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DMEFreeWeb-Simpleclaims

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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.

Billing Software

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.
DMEFreeWeB
 - Easy, Simple - DME billing Web Based.
DMEFree - Easy yet robust Windows based software.
DMEFree Plus - Complete full featured DME Windows based software.

Billing Services

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

Medicare Eligibility

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!
Healthcare Provider Taxonomy Codes (HPTC) April 2010 Update PDF Print E-mail
Healthcare Provider Taxonomy Codes (HPTC) April 2010 Update

HIPAA requires that covered entities comply with the requirements in the electronic transaction format implementation guides adopted as national standards. The X12 837 Professional Implementation Guide used for durable medical equipment (DME) claims requires the use of valid codes contained in the HPTC set when there is a need to report provider type or physician, practitioner, or supplier specialty for a claim.

The HPTC set is maintained by the National Uniform Claim Committee (NUCC) for standardized classification of health care providers. The NUCC updates the code set twice a year with changes effective April 1 and October 1.

Valid HPTCs are those codes approved by the NUCC for current use. Terminated codes are not approved for use after a specific date and newly approved codes are not approved for use prior to the effective date of the code set update in which each new code first appears. Although the NUCC generally posts their updates on the WPC Web page 3 months prior to the effective date, changes are not effective until April 1 or October 1 as indicated in each update. Specialty and/or provider type codes issued by any entity other than the NUCC are not valid and Medicare would be guilty of non-compliance with HIPAA if Medicare contractors accepted claims that contain invalid HPTCs.

The taxonomy code is not required for processing Medicare claims. However, if a taxonomy code is submitted, it must be valid according to the HPTC code set. The HPTC code set is named in the 837 professional implementation guide, thus CEDI must validate the inbound taxonomy codes against this HPTC maintained code source.

The HPTC list is available from the Washington Publishing Company (WPC). To view the April 2010 changes, visit the WPC Web site at: http://www.wpc-edi.com/codes/taxonomy, then select "New Codes" for a listing of new HPTCs or "Modifications" for a listing of modified HPTCs.

Please contact the CEDI Help Desk at 866-311-9184 or by e-mail at This e-mail address is being protected from spambots. You need JavaScript enabled to view it if you have questions.

Thank you,
National Government Services, Inc.
Corporate Communications

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