biling and coding service

  • DME Billing
    advantages-of-online-durable-medical-equipments-shops

    Advantages of Online Durable Medical Equipment’s Shops

    It’s estimated that even more people will opt into online durable medical equipment’s and supply for the delivery.  Since 2007, the industry has nearly doubled in size, with more people choosing it as their primary method for getting supplies; it has been witnessing a constant rise in DME billing too. The increase in in-home care has also led to more need for convenient supply access.  For many, the advantages of brick-and-mortar retailers are just too great to ignore. The industry is also set to go on growing at a six percent rate for the next couple of years. Are there any advantages to buying my medical supplies online? Well, it’s been proven that online medical supplies are not only cheaper but also in most cases more available as opposed to going around searching for a physical store that has all the products you need. DME Billing That Covers Medicare It is best to think of Medicare’s durable medical equipment coverage as having 2 levels: DME billing is covered when determined to be medically necessary and DME that is never covered despite being medically necessary. For example, grab bar rails may be completely necessary for an individual, but Medicare does not consider…

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  • DME Billing
    5- ways-to-ensure-accurate-billing-for-durable-medical-equipment-orders

    5 ways to ensure accurate billing for durable medical equipment orders

    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 help 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 types of modifiers: Modifiers are known to influence fee schedules and help fix prices paid for DME. Moreover, the reimbursements for rental and purchase are not always the same. Each modifier should be studied in detailed, understood what they mean and when each can be used appropriately. Coding when using components and accessories: especially wheelchairs carry specific codes for components and accessories of wheelchairs which need to be employed appropriately Terminology: It is imperative to know how and when specific terms can be employed to ensure accurate billing. For example, a power wheelchair with attachments like a basket or headlights may not be classified as “custom” and can only be termed a wheelchair with extra options. Here, HCPCS is appropriate for the base and the extra components can be billed under a separate heading. Operational Protocols: To ensure accurate billing, the need to establish operational…

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