DME is any equipment that provides therapeutic benefits to a member because of certain medical conditions and/or illnesses that can withstand repeated use, is primarily and customarily used to serve a medical purpose, and is appropriate for use in the home. Rules revolving DME billing given the two major categories- purchase and renting DME, accompanied by regional differences in Medicare coverage, amongst many more issues; pose various challenges for DME with respect to reimbursement and profitability. Depending on recommendations from orthopedics and requiring claims to be submitted in a specific manner, DME entails a unique pattern of billing and coding.
How stressed are you with your DME billing? Are administrative challenges burdening you? Understanding the processes involved and abiding by the regulations will ensure a streamlined workflow, thus improving collections. Every step of the billing process is crucial and involves agility in executing it. Be it Eligibility Verification or claim submission, any missing link will result in denied claims, thus lower reimbursement. Our eBook provides a deep knowledge of codes and modifiers which is mandatory for ensuring no incorrect coding for service/item provided. An understanding of the modifiers for rental and purchase must be well defined in order to avoid lesser payments.
Lastly, the denial management strategy is of dire importance for ensuring you are rightly reimbursed. Analyzing patterns for denials and the common grounds on which claims get denied will help in evading further denials. A handy checklist of things to bear in mind, mentioned explicitly in the eBook will assist in error free claim submission.
In an effort to help DME bill correctly and receive faster and timely reimbursement, MBC has published an eBook on DME billing tips for successful billing. be the first to grab your free copy today!