Medical Billing FAQs

Salyx RCM is a US medical billing and revenue cycle management company. We handle claim submission, payment posting, denial management, A/R follow-up and related work for DME suppliers and practices in 15+ specialties. See our claim submission and A/R and denial management services.

DME is our core focus, including CPAP, oxygen, CGM, power mobility and ventilators. We also bill for sleep labs, home health, hospice, infusion, laboratory, behavioral health, ENT, vision, dental and multi-specialty practices.

Yes. We work with solo providers and small DME suppliers as well as larger groups, and we size the scope to your claim volume.

We bill Medicare (including DME MACs), state Medicaid programs and commercial payers. Each has its own rules, and we follow the requirements for the payers on your account.

You get regular reports on collections, denials and A/R aging, plus a direct contact for questions. See our MIS and financial reporting service.

We quote after a free billing audit, based on your specialty, claim volume and payer mix. There is no one-size price list. See how our pricing works.

Options include a dedicated FTE biller, a percentage of collections, and per-claim or specialty-based pricing. We recommend a model after reviewing your data.

Everything in scope is listed in your written quote before work begins. If your needs change, we discuss it with you first.

Yes. The free billing audit reviews recent claims, denials and A/R, and there is no obligation to sign up afterward.

Yes. We track rental months and apply the right modifiers (RR with KH, KI or KJ) through the 13-month capped rental period, and we watch for breaks in service and same-or-similar conflicts.

Typically a valid standard written order, the qualifying sleep test, the treating practitioner's notes and proof of delivery. For Medicare coverage beyond the first three months, the patient must also meet adherence (at least 4 hours per night on 70% of nights in a 30-day period) and have a re-evaluation between day 31 and day 91. See CPAP billing.

Yes. We check eligibility and same-or-similar history before delivery when possible, and work denials that come back. Read our same-or-similar case study.

Yes, including oxygen, ventilators and CPAP/BiPAP supplies. See oxygen billing and ventilator billing.

Yes. We prepare and track prior authorization requests for items that need them, such as many power mobility devices. See power mobility billing and intake.

Most practices go live typically within weeks. Timing depends on software access, payer enrollments and the open A/R we take over.

No. We usually work inside the billing system or EHR you already use. See our technology page.

We review open claims and aging A/R at handoff and follow up on unpaid balances so nothing is left behind.

Yes. Our credentialing team handles payer enrollment and revalidation so claims are not held up.

Our team follows HIPAA requirements, and Salyx RCM is ISO 9001 and ISO 27001 certified. Read more on our security and compliance page.

Yes. We sign a BAA before we access any protected health information.

Access is limited to the staff assigned to your account.

Yes. Some practices hand us just denials and A/R, or just payment posting, and keep the rest in-house.

Yes. Our coding team reviews documentation and assigns codes for your claims. See medical coding.

Yes. We post ERA and paper payments and flag underpayments and denials. See payment posting.

Yes. See patient collection.