Month: November 2016

  • DME Billing
    dme-billing-services-in-house-vs-outsourced-agency

    DME Billing Services – In house v/s Outsourced Agency

    The most significant processes in the DME practice, besides the clinical services offered, is the billing and Revenue Cycle Management process as they bring in cash flows. The major changes both in the healthcare industry and the political scenario, are keeping people guessing and on their toes as to what changes are likely to come in and how this could further affect their practice. Many DME practices, when it comes to billing and the revenue cycle management process, are unsure if they need to upgrade systems and manage training in-house or whether to outsource part or the whole. However, a thorough assessment of the practice needs to be done that includes: the infrastructure costs in terms of system and software upgrades, the capital investment required for regular staff training to upgrade their knowledge on the coding and billing practices, the verification and eligibility for DME services and regulations of different payers, adding on new staff to handle the RCM process more efficiently for claim follows and chasing rejections and denials, Documentation: It is also well known that the DME providers are often at the mercy of physicians as they receive meager information with respect to converting the codes accurately. Moreover, having…

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  • DME Billing
    streamline-dme-billing-to-reduce-turn-around-time-and-improve-cash-flow

    Streamline DME billing to reduce turn-around time and improve cash flow

    DME billing is known to be a tiresome process because of the various complications and dependencies that come with it. Moreover, once claims are filed, the process of tracking and ensuring timely follow-ups can be very time-consuming. Added to this, although disruptive but helpful ICD-10 coding system has led to a series of changes which has led to increasing investment in terms of staff training and IT infrastructure investment. Further, the increased scrutiny on the coding and billing errors has increased the stress on the core section of the billing process- the billers and coders, which in turn leads to decreased productivity causing reduced cash flows which impact the Revenue Cycle. However, if the DME billing process is streamlined, hurdles identified, thorough knowledge of payer guidelines are imbibed, can help reduce dependencies and turnaround time, especially in the claims department. Leveraging domain knowledge expertise and maintaining compliance to HIPAA rules and regulations, maintain all records and audit process, goes a long way in reducing turnaround time and improving the Revenue Cycle Management process Focus on specific DME billing sections, as mentioned below will not only help the DME billing process to reduce turn-around time and improve cash flow, but a…

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