Frustrated with worker comp DME billing?
It’s time to outsource.

Yes, CompSmart allows you to receive a reimbursement for every claim.

CompSmart will enable your practice to receive revenues on items you may already prescribe but are billed by a DME supplier or company (Stock & Bill). We have designed a program that allows the practice to capture the revenues specific to DME and the work comp payer segment.

CompSmart does not require you to submit an authorization or obtain one before you submit a claim or fit your patient with the brace. This is a huge clinical and efficiency tool for practices. You no longer have to wait before they can fit their patients. There are only two states an authorization must occur from the physician’s office before you can fit the patient and submit the claim. These are California and Texas.

There is no fee to use CompSmart. The only costs for the practice would consist of product costs and staff time to fit patients.

CompSmart was designed to allow a practice to prescribe all their work comp claims consisting of; all soft good bracing (back & neck), knee, wrist, foot/ankle, bone stimulators, etc. The percent of your practice’s work comp payer segment determines your level of participation.

CompSmart reimburses the practice within an average of 30 days of each accepted claim submission. There’s a fixed contract amount for each product billed. You receive a monthly report detailing all the claims submitted that month highlighted; per HCPCS code, per physician, per reimbursement.

CompSmart will only charge back a practice if the practice fails to provide a valid workers comp claim or requested information necessary for claim adjudication. For example, if we required chart notes and the practice failed to provide these notes, a chargeback would occur for that claim. For claims the payer does not reimburse, but all necessary information was provided with claim submission, no chargeback would occur.

You will work with your practice to help you determine the appropriate bracing and DME par levels required to treat your patients.

Yes. This process has been vetted, and a legal opinion has been obtained for those that wish to see it. CompSmart is the first-of-its-kind solution designed exclusively for the work comp channel. A number of current customers performed their own legal review to determine if CompSmart was a viable service for their practice, and all of them proceeded with CompSmart. The cost of the products and the selection of the products is an independent decision made by each participating practice.

There are many ways our program benefits your practice. The four most common are:

1. Practice Revenues –You’ll make more money.
2. You Get Paid Faster –Receive your reimbursements on average 30 days (Guaranteed).
3. Staff Time – Eliminates staff time required to follow up on these claims. Perform prior authorizations. The practice should not lose sight that most of the practice revenues are generated from surgical and clinical billing. Our service does not tie up you’re A/R or billing resources for these areas but will enhance your billing staff’s productivity.
4. Immediate patient fittings that increase patient care, compliance, and convenience.
5. Product Costs – reduces your practice’s financial resources tied up in product costs waiting for reimbursements.

CompSmart will help you analyze your practice as it relates to bracing and soft goods. If you are currently prescribing these items and have work comp patients, CompSmart will add revenue to your practice. The practice can decide if their volumes and opportunities are sufficient. CompSmart services practices having a work comp payer mix of 5 – 90%.