Why should I use Cosmos Medical Management (CMM) for medical billing and management services?

Our collection from insurance companies is 100% and A/R denial is >1%. By outsourcing billing and management services to CMM, you do not have to worry about billing staff as we are responsible for hiring, training, and supervising of employees. Our services will allow you to free up your office space and eliminate the need for billing software, thus alleviating stress, and giving your staff more time to devote to patient care and day-to-day activities. Our 20 years of experience allow us to improve your collections, no matter the size or specialty of your practice. Aside from billing services, CMM also provides complete credentialing and recredentialing services with a variety of insurance companies. We can help set up new practices and obtain NPI numbers and tax IDs if needed etc. Cosmos Medical Management is your end-to-end virtual medical billing, coding, credentialing, and management solution.

How do I make billing information available to CMM?

There are several ways to do this. We can download the patient’s demographics and superbills from your office if you give CMM remote access. Alternatively, you can email or fax the information to CMM via our secure eFax service.

How are primary and secondary insurance claims filed?

All claims are initially filed electronically or on paper if the carrier does not accept electronic claims. Claims that require medical documentation are faxed, emailed, mailed, or uploaded to the insurance website. Claims billed to secondary carriers are faxed, mailed, or billed electronically with primary insurance EOB.

How do you ensure that all claims are processed and paid by the insurance company?

We run reports regularly and use several steps to make sure all claims are paid in a timely manner. We work on each claim until it has been paid or a reasonable denial for nonpayment has been given. If a claim is not paid in a timely manner, our professional staff either calls or checks its status online and follows up rigorously until its settled. If a claim is denied and we are not satisfied, then we appeal the decision and work that claim until a satisfactory decision is rendered.

How does your company get access to EOBs and payments?

Most insurance companies make EOBs available electronically, which can be downloaded in our software through our clearing house or from the insurance carrier’s website. If your office receives EOBs and checks from insurance companies and patients, the payment will be deposited by your office staff, and EOBs and copies of the payment will be faxed to CMM.

Where do payments from insurance carriers and patients go?

All payments from insurance carriers and patients are sent directly to you by mail or through Electronic Funds Transfer (EFT). You can choose whether payments and EOBs are remitted to your post office box, bank lockbox, or physical address. If you choose to use a lockbox, EOBs are mailed to your bank where all the checks are scanned and deposited and made available through the online banking system. If you use a PO box or physical address, EOBs and checks are mailed to the payment mailing address.

How does CMM handle delinquent accounts?

CMM pursues delinquent health insurance claims and patient accounts professionally and courteously. Our procedure is to send three statements to patients with follow-up phone calls. We offer several payment plans until the account is paid in full. We also provide mutually agreed upon discounts if the patient agrees to send a full payment. Payment through credit card is offered to the patient. If the patient does not respond after three statements and phone calls, then the account is sent to a collection agency upon your approval.

How can I stay in touch with CMM to make sure my billing is done to my satisfaction?

We can meet with local physicians and selected staff upon request. For long distance clients, we can arrange a phone call or Zoom meeting to discuss any questions. We provide extensive, self-explanatory reports at the beginning of every month and can create customized reports upon request. We also provide annual comparative reports for up to the past three years of charges, collections, and outstanding balances to show the trend of your practice.

How do I make sure that patient information and data is secure?

CMM is a HIPAA-compliant billing and management company. We follow secure data protection policies, and our data is securely backed up multiple times every day.

Who answers medical billing service questions that patients might have?

The staff at CMM answers all billing-related phone calls and questions. A toll-free number will be provided on all claims and patient statements.

How do you charge for your billing and management services?

CMM does not get paid unless you get paid. Our fees are percentage-based and proportional to your receipts. The percentage charged is based on many factors, including specialty, practice size, and customized services offered. There is a one-time, nonrefundable setup fee for new and established practices. Credentialing services can be provided on an hourly basis or per project. Please contact CMM for more information.

Can I revoke or cancel my agreement with you?

Your contract with CMM is nonbinding and can be cancelled with 90 days’ prior notice and a written agreement from each party.

How do I get started?

We will send you a service contract to review and sign. We can start entering your data as soon as the agreement is signed, and the appropriate information is available. For more information please submit through our contact form or schedule a free consultation.

DME Credentialing

Durable Medical Equipment (DME) credentialing is a critical step for suppliers who want to participate in Medicare, Medicaid, and commercial insurance networks. It ensures that your organization meets all compliance, licensing, and quality standards required by payers, allowing you to provide essential medical equipment to patients while securing timely reimbursement.

At CMM, we specialize in guiding DME providers through the complex credentialing and enrollment process. From verifying state and federal requirements to preparing documentation and submitting applications, our team manages every detail to help you get in-network with the right payers. We understand the nuances of billing for DME, including technical and professional components, and ensure your applications meet payer-specific guidelines.

Credentialing with Medicare and commercial carriers not only validates your business but also expands patient access to your products whether it’s wheelchairs, oxygen supplies, diabetic testing kits, or other critical equipment. Our rigorous follow-up with insurance companies ensures that even when panels are closed, your application is positioned for approval as soon as opportunities open.

By partnering with CMM, you can focus on serving patients while we handle the time-consuming paperwork and compliance requirements. Successful DME credentialing builds trust, reduces administrative delays, and secures reimbursement directly from payers so patients receive the care they need without financial burden.

DME Credentialing Process

1. Readiness Assessment

Review your DME product offerings (wheelchairs, oxygen supplies, diabetic kits, etc.).

Identify Medicare, Medicaid, and commercial payers relevant to your business model.

Check Insurance Coverage : Verify state licenses, liability insurance, and compliance documentation.

2. Documentation Collection

Gather all required paperwork including business licenses, accreditation certificates, ownership details, and product categories.

Ensure billing information is aligned with payer requirements.

3. Application Submission

Prepare and submit credentialing applications to Medicare and targeted commercial carriers.

Confirm receipt and track application status with each payer.

4. Rigorous Follow-Up

Maintain ongoing communication with insurance companies

Monitor closed panels for specialty DME and re-apply promptly when openings occur.

Respond quickly to requests for additional information.

5. Compliance Verification

Ensure your DME business meets payer guidelines and federal/state regulations.

Address any discrepancies before approval to avoid delays.

6. Approval & Enrollment

Secure credentialing approval and enroll your DME company into payer networks.

Confirm reimbursement rates and billing setup for smooth operations.

7. Ongoing Monitoring

Keep credentialing current with renewals and revalidations.

Monitor payer updates and maintain compliance to avoid reimbursement interruptions.

Why Choose CMM:

Expertise in payer requirements: We navigate Medicare, Medicaid, and commercial guidelines with precision.

Persistent follow-up: Our team ensures applications move forward, even when panels are closed.

Compliance assurance: We verify documentation meets all standards to avoid costly delays or denials.

Focus on growth: Credentialing with CMM expands patient access and secures timely reimbursement.

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Get your DME supplier credentialed fast start compliance, billing, and growth with expert support today!