Customer Portal Outsource Billing Consulting Services HME Resources News & Views About Us Contact Us



Favorite Links

Ask the Contractor

Self-Service Tools - Jurisdiction A

Tools and Materials - Jurisdiction B

Modifier Tool - Jurisdiction C


Upcoming Events

Medtrade Expo

AA Homecare Events


Send us your questions or your feedback. We'd love to hear from you!

FEEDBACK

General
Reimbursement Resources

 

Forms and Templates

Note: Clients may contact us for editable versions of these forms and templates.

  • ABN Form
  • Adjustment Request Form
  • Delivery Invoice Agreement
  • Financial Hardship Form
  • Patient Intake Form
  • Physician Order Form - Generic
  • Documentation Request Fax Covers - Generic
  • HME Billing File Audit Template
  • General Training and Reference

  • Denial Code Guide
  • Billing Hold Reason Codes
  • IVR DMERC Region A
  • IVR DMERC Region B
  • IVR DMERC Region C
  • IVR DMERC Region D
  • Place of Service Codes - Nursing Home Coverage
  • Training Handout - ABN
  • Training Handout - Basics Part 1
  • Training Handout - Basics Part 2
  • Training Handout - Claim documentation
  • Training Handout - DME Modifiers
  • Training Handout - Repairs and Replacement

  • Customer Portal ] [ Outsource Billing ] [ Consulting Services ] [ HME Resources ] [ News & Views ] [ About Us ] [ Contact Us ]

    Domos HME Billing
    Phone: 425.882.2035
    Fax: 888.553.1063
    Email: Domos HME Billing