Durable Medical Equipment (DME) is any kind of equipment that offers therapeutic benefit to patients due to certain medical conditions. A complex industry with an ever changing environment, the DME industry is fast growing since last few years. However, the challenges faced by it are manifold. Constant changes and increased complexities of insurance and medical claims along with a move towards consumer driven payment models are directly impacting revenue flow and margins for DME.
The challenges keeping DMEs from getting the entire payment do not stop here. Following are few more-
In light of the above challenges, DMEs must focus on the following points in order to mitigate the negative impacts and collecting the revenue that they ideally deserve:
The coming of ICD-10 has added to the existing challenges for DME. Although the DME you bill for will use the same HCPCS codes, the primary difference will be in the diagnosis coding itself. Thus it is imperative that DMEs bring about required changes in the work policies and their systems in order to collect maximum revenue and experience reduced denials.Back