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 DME - Medicare Part B Durable Medical Equipment Billing
AbacusRx offers the DME option to the Visual Pharmacy Plus software as a fully integrated Medicare DME claims processing feature.  The DME Billing module is integrated at the point-of-sale using the Visual Pharmacy Plus™ enhancements as an additional on-line third party.   The Visual Pharmacy Plus™ software provides pharmacies a convenient and centralized method for billing Medicare claims at the point-of-fill, eliminating the need for additional costly software.  This all-in-one integration insures accuracy while significantly improving processing efficiency and opera

Our real-time edits enforce compliance to CMS (formerly HCFA) policy significantly reducing costly rejects.  The Medicare claims are thoroughly and effectively processed, with adjudication taking place within a secure and efficient environment.   Assignments are accepted by pharmacy or patient and payment is remitted to pharmacy, corporate office, or patient.

The Visual Pharmacy Plus™ system will seamlessly coordinates benefits, whether Medicare is the primary or secondary insurer, and other insurance amounts will be automatically reported to participating secondary insurer, this process occurs electronically within the system.  The DME Billing module insures that each claim is processed at the point-of-fill and the complete claim is captured.  The system offers a high degree of functionality combined with an easy-to-use graphical interface.    Additional Features...

Visual Pharmacy Plus
The system is capable of managing multiple pharmacies. Share patient information and prescription history with security and privacy restrictions while keeping separate inventory.
DME Billing Key Features

Doctor NPI, DEA, UPIN number and demographic verification.
Patient ID and demographic verification.
Product coverage and automatic modifier determination.
MAC price, minimum/maximum quantity verification.
Diagnosis code for product verification.
Coordination of Benefits, and patient/pharmacy assignment.
Refill too soon and patient annual deductible verification.
Automatic quantity conversions from pharmacy to CMS standards.

Non-covered items may be submitted when required by state Medicaid.
Date Spanning compliance enforced on diabetic and internal supplies.

Back end Research & Resubmit service available to all providers.
After the claim has passed the extensive edit checks, a response is instantly returned to your system.

AbacusRx stocks all necessary forms that meet current CMS requirements and are available in continuous or single sheet format, and one or two-parts.  Our non-continuous forms can be imprinted with your practice's information and are available with or without bar code.  
Available Stock Forms

CMS-1500 INSURANCE CLAIM FORM
UP-92 CMS-1450 CLAIM FORM
CMN FORMS FOR DURABLE MEDICAL EQUIPMENT
INSURANCE CLAIM ENVELOPES
FREE Modules Included with Visual Pharmacy Plus™
The following Modules are included as part of your Visual Pharmacy Plus software package.  Most pharmaceutical software vendors will either charge you $1,000's extra for these modules, plus a monthly fee for each or they do not offer them at all.  These are included Free.
Accounts Receivables
Cycle Fill
Inventory Control
Hard Copy Scanning
Payment Reconciliation
Compounding & IV
OTC and Service Billing
Signature Capture
Flexible Drug Pricing
Home Delivery Tracking
Barcode Scanning
Drivers License Scanning
Contact us today and request a Free Demo!