Medicare helps pay for specific medical equipment that you may need for your medical practice. However, Medicare rules for coverage are strict and can be confusing. Durable Medical Equipment (DME) widely known as DME is reusable medical equipment, such as walkers, wheelchairs, or crutches. If you have Medicare Part B, Medicare covers certain medically necessary […]

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It is a known fact that in the RCM process every process and workflow in the medical billing cycle has a correlation with the revenue cycle function. This is known to contribute to an industry average of 15–25 percent of overall operating costs ( a large population of DME/HME companies continue to operate at 25–35 […]

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DME – Durable Medical Equipment is normally used for people with certain medical requirements and which could be for repeated use too. Moreover, DME can also be used at different times and could be just rented out for specific periods or for long term usage or for on a permanent basis. The complexities are many […]

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It is a well-known fact that DME billing can be nerve racking, given the changing regulations and rules not just by federal agencies but also payers. Moreover, the DME categorization and its usage given “medical necessity” and the pre-authorization and authorization requirements can be tedious and time consuming to incorporate when dealing with documentation. Hence, […]

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Durable Medical Equipment, as the name implies is medical equipment that is necessary for patients over a period for supportive medical care. Billing for DME is a complicated process that involves patient validation, getting prior authorizations for DMEs exceeding the allowed limit if rented or purchased, using correct forms for claims submission (electronic or paper), […]

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DME(Durable Medical Equipment)s are prescribed by medical practitioners for inpatient or outpatient use and needs to be approved by the patient’s insurance. Why is it necessary to install the correct billing software, especially when you are in DME practice? Well, ensuring you are compliant at every step in your DME billing process is very essential […]

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As a physician you feel responsible both towards your patient and staff to verify that all is going well. So too, when you make the decision to outsource your DME billing services – you need to constantly track and check all aspects of the services provided by the DME provider. The reason being- you need […]

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Consciously or unconsciously, physicians or their staff may unknowingly be active or passive participants in Medicare fraud, waste, and abuse. Recent figures on the Medicaid program illustrate the scale of the problem. According to the Centers for Medicare & Medicaid Services (CMS), the cost of medical coverage in fiscal year (FY) 2015 was $547.7 billion. […]

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The DME coding and billing is a very complicated process and involves not just expertise in the coding and billing of DME services, but also qualities like patience and attentiveness to details. To ensure an efficient and effective Revenue Cycle Management process, the charge entry process needs focus in your DME Billing process. The charge […]

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DME billing and coding is a very complex system and involves a certain level of expertise. Besides expertise, awareness and knowledge about the constantly changing coding system by CMS helps ensure accurate billing that helps reap rewards. Here are a few ways that can help ensure accurate billing for DME services: Awareness of kinds and […]

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