Category Archives: Medicare Medicaid

Avoiding Product Substitution with your DME Provider


  With new rules and regulations, product substitution has been of utmost importance. This is added with new reimbursements plans that quite often lead to a loss of revenue. It ends up affecting all – physicians, patients, DME provider, healthcare … Continue reading

Posted in DME Billing, Medicare Medicaid | Leave a comment

How can a Licensed DME Offer a Leverage Over other DME?


  The term ‘Durable Medical Equipment’ covers an array of devices such as crutches, wheelchairs, oxygen supplies etc. Lack of licensing can put the DME company in a tight spot with civil and criminal consequences. Again, it is imperative that … Continue reading

Posted in DME Billing, Medicare Medicaid | Leave a comment

Enhance Pathology Revenue with a Smooth Billing Process


  Constant change in the healthcare industry has impacted timely reimbursement for medical practices over the past few years. Pathology Medicare and Medicaid have gone on a reduction spree as far as physician reimbursements are concerned. Most third party payers … Continue reading

Posted in EMR / EHR / Health IT, Medicare Medicaid, Practice Administration | Leave a comment

Medicare Rules Contributing to a Fraud Free DME Billing!


  Long standing concerns in DME (Durable Medical Equipment) known for unquestionable billing practices, led the government to take action for tackling fraud in the insurance industry. Medicare, the nation’s largest health insurance program, regulates the billing structure of maximum … Continue reading

Posted in DME Billing, Medical Billing, Medical Equipment, Medicare Medicaid | Leave a comment

Meaningful Use and PQRS- Know More!


  The voluntary program Physician Quality Reporting System (PQRS) is meant to pay eligible professionals (EPs).This includes physicians under Medicare as well as a few select therapists and service providers who extend their services to beneficiaries under Medicare. However, there … Continue reading

Posted in Medicare Medicaid, Physicians/ Doctors, Practice Administration, Practice Management | Leave a comment

The Do’s and Don’ts of Medicare & Medicaid Billing


  A biller’s most important task is to send ‘clean’ claims to Medicare and Medicaid. Though both are high-volume payers, they perform differently in the US healthcare system. In 1965, Medicare (a federal healthcare program) was created to target persons … Continue reading

Posted in Claims Denials, Medicare Medicaid | Leave a comment