DME Billing Services and Certified DME Billing Companies USA

  • 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
    Is-your-Facility-providing-accurate-billing-transaction-for-DME-orders

    Is your Facility providing accurate billing transaction for DME orders?

    DME – Durable Medical Equipment is normally used for people with certain medical requirements and which could be for repeated use too. Moreover, DME can also be used at different times and could be just rented out for specific periods or for long-term usage, or on a permanent basis. The complexities are many when it comes to billing for DME services, given the CPT codes and modifiers to be used and when. Added to this, some payers may or may not reimburse depending on their coverage or rules & regulations as each payer may have a different reimbursement component attached. Overbilling is one of the major issues that most medical providers of healthcare face when it comes to the DME billing process. This has led to the initiation of a number of audits by the OIG and can be a cumbersome affair. Checklist to determine accurate DME billing In order to determine if your facility has made provision for accurate billing transactions for DME orders, here is a checklist to work with. Modifier usage: Using appropriate modifiers and coding to the highest level of specificity requiring modifier use is very pertinent to accurate billing for proper reimbursements. Certified DME coders…

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  • DME Billing Services
    Is-DME-billing-giving-you-nightmares

    Is DME billing giving you nightmares?

    Durable Medical Equipment, as the name implies is medical equipment that is necessary for patients over a period for supportive medical care.DME Billing is a complicated process that involves patient validation, getting prior authorizations for DMEs exceeding the allowed limit if rented or purchased, using correct forms for claims submission (electronic or paper), submit claims to the primary insurer if there is one, ensuring to submit the itemized bill with the claim form, usage of HIPAA compliant billing software, determining the proper billing codes (CPT, HCPCS, ICD-10 CM), resubmitting denied claims with the correct codes. All these can be very exhausting and prone to errors and delay in claim settlements and in some cases, recoupment of claims also happens. Moreover, increased regulatory changes & scrutiny, & the emergence of competitive bidding have impacted reimbursement. Physicians involved in providing DME services are facing the brunt which is affecting operations and profitability and the nightmare of how to deploy resources and where to invest. When a patient gets a prescription for a DME, the provider needs to verify the patient’s (beneficiary) eligibility and valid coverages under their benefits plan. Most of the cases the DME supplier or the beneficiary’s medical care provider…

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  • DME Billing Services
    Get Error Free Charge entry for DME Billing

    Get Error Free Charge entry for DME Billing

    The DME coding and billing is a very complicated process and involves not just expertise in the coding and billing of DME services, but also qualities like patience and attentiveness to details. To ensure an efficient and effective Revenue Cycle Management process, the charge entry process needs focus in your DME Billing process. The charge entry process is the most crucial juncture in the billing cycle – where the claims are created. The significant details required to get correct to make this process seamless are – fact sheet of the patient, physician details, information about the insurance coverage of the patient, and the billing information. It is the most vital process of any medical billing workflow, including the DME billing management process. To have an error-free charge entry for the DME billing & claims process, diligently follow the below steps Keying in Medical billing information: Entering the billing information of the patient is an important step in the charge processing stage. Having trained staff to enter the billing details of the patient, as it includes vital information such as the name of the medical provider, the medical service rendered and the date of the patient’s visit is essential. And cross…

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