Why Outsource Medical Billing Services

  • DME Billing Services
    Critical factors to consider before you outsource DME billing and coding

    Critical factors to consider before you outsource DME billing and coding

    Durable Medical Equipment (DME) as a healthcare industry field is different from other specialties and so is its medical billing and coding requirements. You need an in-depth and specialized knowledge of all the updated HCPCS Level II codes as DME claims are classified under HCPCS Level II. And as to speak about DME suppliers, the complex nature of reimbursement is another challenge they constantly face. Since patients can rent expensive equipment rather than purchase, DME billers and coders must be conscious of exactly how to code claims and when to send them for getting the precise reimbursement amounts. What this means is that the code should lay down the equipment was rented and not purchased. The rental period should be recorded separately on the claim so that the insurance company will pay a small reimbursement for each of those days. Outsourcing your DME medical billing tasks facilitates a smart solution for your hospital billing requirements, assisting you to organize the entire billing and collection process at a portion of your current operating costs. If you want to make the in-house workload a bit lighter, it’s a great idea to consider outsourcing your DME billing. Here are some important ways by…

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  • DME Billing Services
    lacking-in-ar-management-can-harm-your-durable-medical-equipment-revenue

    Lacking in AR Management can Harm Your Durable Medical Equipment Revenue

    Accounts Receivable (AR) is a key parameter in the financial division of every healthcare facility. It is defined as the money owed by the healthcare facility for the services rendered to the patients. Being a vital aspect of the revenue cycle management, the cash flow of the healthcare facility is directly proportional to the managing of AR. AR is calculated as: Total charges for last 6 months/number of days in last 6 months = average daily charges Total AR / average daily charges = days in AR AR can be duly managed if the medical billing and coding professionals are knowledgeable about coding parameters, insurance rules, timely claim filing and follow up (of regular and rejected claims). Usually, the healthcare facility is paid by the insurance and the patient. A delay in either of these negatively affects revenues and leaves a great deal on the table. Hence, it is imperative to monitor the AR on a continuous basis. And this must be done by professionals who know the healthcare practices’ contract terms claims adjudication. The professionals managing AR must also know how to calculate copays which the patients are required to pay. Other practices to be followed are: prior authorization,…

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  • Accounts Receivables
    Align your DME Billing and Coding Priorities with Experts and Experience a Profitable Income Cycle

    Align your DME Billing and Coding Priorities with Experts and Experience a Profitable Income Cycle

    Managing a Durable Medical Equipment (DME) facility is without a doubt a tough task. Right from providing patients the correct medical gear to overlooking the revenue management cycle, insurance reimbursements, along with medical billing and coding requires the help of experienced experts, be it in-house or outsourced. As a DME medical billing service provider, we know that the income cycle administration for practices has turned out to be more entangled than before. With regularly changing insurance agency norms, government regulations, compliances, and medical reforms, it has turned out to be practically impossible for DME facilities to keep up with the changing business environment. However, what this does is that it creates delayed reimbursement or denied claims, resulting in a negative income cycle, and hence it becomes your top priority to align your DME billing and coding priorities with experts to experience a profitable income cycle. As one of the most prominent medical billing and coding company, catering to the US facilities our procedure is characterized is such a way that we do not miss any opportunity to increase your collection rate. Medical Billers and Coders (MBC) work with a unique process workflow combined with our very own system software and…

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  • DME Billing Services
    Out of Pocket Payments and your DME facility!! What you should know?

    Out-of-Pocket Payments and your DME facility!! What you should know?

    There are certain considerations when you are choosing health insurance is a plan’s out-of-pocket costs. These are the healthcare expenses that you pay yourself, i.e. out of your own pocket. Out-of-pocket expenses are paid in addition to your monthly premium for health insurance. In order to minimize your healthcare costs, you need to look at your total annual spending for healthcare which includes not just your monthly premiums but also all the money you pay towards deductibles, copayments, coinsurance, and other out-of-pocket expenses. As more and more Americans age in place, or remain living at home instead of moving into skilled nursing homes or assisted living residences, there has been an increased need for seniors to purchase durable medical equipment – DME.  Every year, approximately $50 Billion is spent on durable medical equipment in America, wherein 25% percent of which is paid for directly out-of-the-pocket of consumers. It is important to find other financial assistance programs and minimize their out-of-pocket spending on DME. Before we go with the discussion, it is important to know what we consider as DME Durable Medical Equipment (DME) as well as the terms, Home Medical Equipment (HME) and home healthcare equipment are used interchangeably. They…

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  • DME Billing Services
    Resolving-the-Durable-Medical-Equipment-Billing1-Dilemma

    Resolving the Durable Medical Equipment Billing Dilemma

    The Durable Medical Equipment (DME) industry is one of the most complex and continually evolving enterprises. While, there are some facilities that have a dedicated in-house accounts department, but most of DME practices today favor to outsource their billing, coding and revenue requirements to professional medical billers and coders. Getting all your charge entries streamlined is one of the most tedious activities one can undertake. Constant adherence to quality is a must. The facility should also stay abreast of all the changes happening in reimbursement regulations and coding. Off-loading the work to an outsourced DME billing company provides a substantial delivery platform that ascertains greater productivity with high quality at a lower cost, and this is where outsourcing steps in. Resolving the Durable Medical Billing Dilemma Choosing an accomplice When looking for an accomplice for DME billing administrations, the facility should conduct a background check as to experience in this field. The outsourcing organization ought to have the capacity to deal with all elements of the income cycle. A solid process has driven philosophy that begins at the offshore destination and remains until the end of the venture, aides to an engaged delivery system. This also helps the suppliers to…

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  • DME Billing Services
    Reasons-why-your-DME-facility-might-not-be-generating-revenue

    5 Reasons why your DME facility might not be generating revenue?

    DME facility is majorly dependent on the mandates and regulations set by the federal government.  The recent news of DME facilities overlooking the patient safety and the reselling of Home Medical Equipment (HME) has pushed the states to look for the law to curb irregular treatment of patients. This has further complicated the compliance issues driving down the revenue.  Here is the look at some of the negating factors affecting your DME facility Reduced Inflow of patients For any DME facility, one factor that contributes greatly towards the reimbursement generation is a constant flow of patients. Durable Medical Equipment is usually stabilized equipment’s that after the rigors use of it becomes non-essential for the patient or if the patient needs to make continuous use of it will just need maintenance and repairs. The need for collateral tie-ups with physicians recommending their patients for your DME facility can act as a great booster. Furthermore, a DME facility can instill a marketing technique to promote their attractive rates and range of equipment. No future plan- Equipment and Reimbursement Flow DME facility needs to be prepared for the worst in such cases of bankruptcy or action against the facility. The need for the…

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  • DME Billing Services
    How to Make Medicare Pay for Durable Medical equipment’s

    How to Make Medicare Pay for Durable Medical equipment’s?

    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 durable medical equipment if your treating practitioner or physician prescribes it for you to use in your home. To be covered, the prescribed medical equipment must be: Used for a medical purpose. Not typically useful if you aren’t sick or hurt Used in your home If you are currently residing in a hospital or nursing home that is providing you with Medicare-covered care, these facilities don’t qualify as your “home.” However, a long-term care facility does qualify as your home. If you are staying in a skilled nursing facility and the facility provides you with durable medical equipment, the nursing facility is responsible for the durable medical equipment. Where to get Durable Medical Equipment? If you are enrolled with Original Medicare, you’ll need to get your durable medical equipment from the supplier which is too enrolled in the Medicare program, or Medicare won’t pay for…

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