DME Billing Services in Des Moines, Iowa

In an all-category, discharge-fed book, the money leaks show up where documentation timing meets a busy referral pipeline. Before anything else, we close the denials that quietly drain a central Iowa supplier's margin. Codes and modifiers appear only in the table.

Des Moines concentrates central Iowa's referral volume in a way no other city in the state does. MercyOne Des Moines Medical Center and UnityPoint Health–Iowa Methodist Medical Center anchor the discharge stream, while Broadlawns Medical Center carries the safety-net load, together producing a broad, all-category flow: cardiac and COPD patients going home on oxygen, post-surgical and neuromuscular patients needing beds and mobility, and wound-care patients needing support surfaces and NPWT. Because it is a full-category book, a supplier is billing an inexpensive purchase, a 13-month capped rental, and a 36-month oxygen cap in the same day, each on its own clock.

Iowa sits in Jurisdiction D, administered by Noridian, so a Des Moines DMEPOS claim never routes to the state's Part B carrier — a distinction that trips suppliers who assume one filing address. On the Medicaid side, Iowa runs coverage through IA Health Link, delivered by Iowa Total Care and Amerigroup Iowa (Wellpoint), each with its own prior-authorization list for power mobility and support surfaces. As the state's insurance-industry capital, Des Moines also carries a heavy commercial and Medicare Advantage share, so a supplier juggles multiple authorization regimes at once. The constant across all of them is timing: the standard written order, the face-to-face encounter, and any qualifying test have to be complete before delivery, because no payer here will backfill a gap after the equipment ships.

247MBS bills the full equipment mix a capital-city referral hub generates. We work with oxygen and respiratory providers, CPAP and BiPAP suppliers, mobility and complex-rehab (CRT) companies, hospital-bed and support-surface providers, wound-care and NPWT suppliers, orthotics and prosthetics (O&P) practices, diabetic and CGM operations, and retail HME storefronts serving downtown, the East Side, Beaverdale, and out through West Des Moines, Ankeny, Urbandale, and Ames across the central Iowa metro. Whether your volume comes off a MercyOne, Iowa Methodist, or Broadlawns discharge or a walk-in referral base, we match each claim to its payment class and confirm the order, authorization, and delivery trail before it bills. Because much of the panel is recurring oxygen, CPAP, and diabetic resupply, we reconcile the rental and re-certification clocks across your whole patient list, so no oxygen cap lapses and no capped-rental item bills past month 13. As the metro keeps growing into its suburban ring, the home-delivery footprint widens with it, and we make sure the Proof of Delivery and re-certification trail holds up whether the drop is downtown or out in Ankeny or Waukee.