Physician Liability for DMEPOS Medical Necessity

The Medicare program only pays for health care services that are medically necessary. In determining what services are medically necessary, Medicare primarily relies on the professional judgment of the beneficiary’s treating physician, since he or she knows the patient’s history and makes critical decisions, such as admitting the patient to the hospital; ordering tests, drugs, […]

Posted by Medical Billers and Coders November 21, 2019June 6, 2023DME Billing Services, Medical Equipment, Physicians/ Doctors, Revenue Cycle Management (RCM)

Advantages of outsourcing Durable Medical Equipment billing

Administrations of Durable Medical Equipment (DME) billing can be a tedious and time-consuming task. In addition to other things, it requires inside and out knowledge of reimbursement rules of Medicare, Medicaid, and Commercial Plans, and their admonition. It likewise requires consistent adherence to quality and staying side by side of the considerable number of change […]

Posted by Medical Billers and Coders March 5, 2019June 5, 2023DME Billing Services, Revenue Cycle Management (RCM)

Updated DMEPOS Codes Fee Schedule 2019

The Centers for Medicare & Medicaid Services (CMS) updates the DMEPOS Codes Fee Schedule on an annual basis in accordance with statutes and regulations. Payment on a fee schedule basis is required for certain Durable Medical Equipment (DME), prosthetic devices, orthotics, prosthetics, and surgical dressings by Section1834 (a), (h), and (i) of the Social Security […]

Posted by Medical Billers and Coders March 4, 2019November 29, 2021DME Billing Services, Medical Coding, Revenue Cycle Management (RCM)

Recent Policy development for Durable Medical Equipment (DME) Billing

The US Healthcare industry in its true sense is passing through a transition period, where each medical specialty is waiting on the fence, to find out if there is any further development to their current regime. In those specialties, the Durable Medical Equipment suppliers are also looking for information and updates that would normalize their […]

Posted by Medical Billers and Coders May 3, 2018July 15, 2019DME Billing Services, Revenue Cycle Management (RCM)

CMS Relaxes the Date for CURES Act Changes for Durable Medical Equipment (DME) Billing

CMS has now backed off from the initial date of Dec 31, 2017, and stated that it will work with state Medicaid programs for different compliance and reimbursement plans. CURES ACT related to Medicaid update was first released in early December. In view of various physicians and surgeons, CMS has now revised the ruling stating […]

Posted by Medical Billers and Coders April 13, 2018June 6, 2023DME Billing Services, Medical Billing, Revenue Cycle Management (RCM)

Increase Collection of Durable Medical Equipment (DME) Provider’s

Medical billing and coding is an integral part of your revenue cycle management. It not only concentrates on posting accurate payments but invariable increase the collection of your facility as well. Today, most medical facilities, solo practitioners, healthcare units, and clinics employ dedicated medical billing and coding companies to optimize the entire income cycle. This […]

Posted by Medical Billers and Coders March 15, 2018July 2, 2020DME Billing Services, Medical Billing, Medical Coding, Medical Equipment, Revenue Cycle Management (RCM)

A bid program for Durable Medical Equipment(DME)?

Recently the Medicare Payment Advisory Committee (MedPAC) made payment policy recommendations for non-competitively bid Durable Medical Equipment. And if internal reports are to be believed, MedPAC plans to recommend that CMS shift more products away from the excessive fee schedule to bid rates. Also, it plans to call for immediate reduced payment rates for certain […]

Posted by Medical Billers and Coders March 1, 2018June 6, 2023DME Billing Services, Revenue Cycle Management (RCM)