DME medical billing 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
    durable-medical-billing-facilities-need-outsourcing-medical-coding

    Durable Medical Billing (DME) facilities need outsourcing medical coding?

    With over 19 years of experience in Durable Medical Billing (DME) through errors and compliances, we have understated a few paths for DME clients. Every month we add new clients with thousands of dollars are lost in mishandling and unpaid claims in numerous fields of healthcare, including Durable Medical Equipment (DME). Added to this is the multifaceted billing and coding procedures, and the claim requirements of Medicare, Medicaid, and other private insurance companies. To ensure accurate reimbursements and timely revenues, it is imperative to hire an outsourcing agency as it works as a smart solution and completes all the billing and coding requirements; and assists in organizing the entire processes at a fraction of the in-house operating costs. It also makes the in-house billing and coding department’s work a lot easier, less time consuming, and lesser issues related to legalities. Equipment which provides therapeutic benefits to patients who are in need due to certain medical ailments is categorized as DME. It is also known as Home Medical Equipment (HME) and is able to withstand repeated use. Equipment’s considered as DMEs are prosthetic devices, wheelchairs, oxygen equipment, insulin pumps, walkers, hospital beds, power mobility devices, etc. It is known that around…

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  • DME Billing
    a-bid-program-for-durable-medical-equipmentdme

    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 non-CBP products, while CMS works on incorporating them into the CBP. Alternatively, there are plans to recommend a policy option that would have CMS consider capping balance billing (specialty billing) at a percentage of the fee schedule rate and reduce the allowed amount by 5% for non-participating providers. Shifting the Bidding Program can DMEs a fortune A new research paper published in Health Affairs found that Medicare’s competitive bidding program is expected to save CMS $25.7 billion on durable medical equipment. This amount is calculated on a 10-year basis.  The program is expected to save about as much as what large commercial insurers save by negotiating with suppliers. The research found out that the early stages of the Medicare Durable Medical Equipment Billing; Competitive Bidding Program resulted on average of 35% lower prices than the CMS’ 2010 fee schedule, which is how CMS determined payment…

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  • DME Billing
    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 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 work with a unique process workflow combined with our very own system software and technology that…

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  • DME Billing
    digging-deep-in-dme-coding-external-elements-that-streamline-your-medical-billing

    Digging Deep in DME coding: External Elements that streamline your Medical Billing

    Medical billing and coding from the outside may look like an easy on the run job, but it has much more intricacies that what you can imagine. The Durable Medical Equipment charges, which have different ‘codifications’, altogether are is making life worse for DME owners to sustain a streamlined revenue cycle, as most of the claims are being denied or delayed due to incorrect coding or billing information. The moot question that arises here is how can DME suppliers go to the root cause of the daily coding issues. Can they use external elements to streamline their entire billing cycle and aging AR days? Let’s find out. If you are into medical billing and coding, durable medical equipment may scare you as its coding complexities are deeply rooted in HCPCS or Healthcare Common Procedure Coding System Level II codes and Medicare’s policies. Not to worry, as there are many ways to fine-tune your DME coding abilities by digging into the DME and exploiting how to properly assign HCPCS Level II codes for billing. Firstly, one needs to start by getting their hands dirty and scooping away the top layer of DME by defining it. Next, you need to dig deeper…

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  • DME Billing
    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 refer…

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  • DME Billing
    durable-medical-equipment-most-simple-things-you-need-to-know

    Durable Medical Equipment: Most Simple Things You Need to Know

    With age, there comes a dependency.  We may require assistive equipment to help us do things that were earlier easy, such as climbing stairs or standing up from a chair. The majority of older adults have never previously encountered this type of adaptive equipment, and navigating this new world of insurance and vendors can be overwhelming. That’s why you need to know about Durable Medical Equipment widely termed as (DME). What Is Durable Medical Equipment? Durable medical equipment is things that are most familiar as hospital beds, commodes, wheelchairs, items like that that are needed for a patient or client to help them function with their daily living. There are some things that we all see in the hospital that you can have at home. Some things you need to have and some things are just a convenience. Not just for people who are old and aged, DME also fits all the below mentioned criteria: How Is The Coverage Offered For DME? DME is generally covered subject to the indications listed below: Durable Medical Equipment (DME) and orthotic benefits, including certain disposable supplies, enteral feedings and the following diabetic supplies and equipment: glucose monitors, insulin pumps, syringes, blood and urine…

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