When it comes to Durable Medical Equipment (DME) reimbursement the difficulty is that they don’t form a complete treatment episode but a part of it and their necessity for a treatment episode depends on the physician’s recommendation. This dependency makes reimbursement of DME incidents complicated necessitating additional paperwork to record and establish their necessity for a treatment episode.
Additionally, seen from a DME reimbursement standpoint, ailments are not covered by Medicaid or Medicare as such but only such ailments as are treated with the use of DME devices. Sleep disorder is a point in case. There are various sleep disorders but only such sleep disorders are reimbursed as are treated by the use of CPAP which enjoys insurance coverage under Medicaid.
If we simplify the above facts regarding DME from a reimbursement point of view, two deductions will spring up:
The need to establish the necessity of a DME device within a treatment episode
Knowledge of the devices that are covered
The second requirement is more complicated than it looks; its coverage eligibility is circumstantial. For example, a wheel chair will be covered only when used exclusively for a permanently disabled nursing facility resident and if not included in the nursing facility per diem rates.
Physicians in New York are increasingly preferring to have professional Medical billers and coders manage their billing process. Numerous physicians have observed that the cost of maintaining these professionals can be very high too thus an increasing trend in looking out for expert billers locally who may or may not be associated with the practice full time.
With an average of 10 years of medical billing and coding experience, our certified billers are available to service your practice in any city of New York including the New York City, Buffalo, Rochester, Yonkers and Syracuse.
They help practices protect patient information, minimize interruptions in cash flow by due to staff turnover and absences, elimination of backlogs and providing continuity of revenue collections. You can count on them for medical billing and coding services where they can help you to:
Increase revenue steadily
Faster claims processing as they are dedicated to billing not multi-tasking
Follow up on rejected or partially paid claims
Consulting in coding to increase revenue through better code utilization
Adopting best Medical Billing practices and recovering collections quickly