DME medical billing service

  • DME Billing Services
    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 Services
    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 Services
    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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  • DME Billing Services
    Best Practices to Optimize your AR days for DME facilities

    Best Practices to Optimize your AR days for DME facilities

    A professional DME facilities and billing workflow ensure to have increased revenue. With errors and mistakes in your DME billing, the process for claims management is hindered and thereby the Accounts Receivable (AR) collections have a deep impact overall reducing the healthy cash inflows. So what are the best practices to optimize your AR days for DME facilities? Here are some 5 simple yet effective ways to make effective your billing efficiency and thereby speed up the A/R collections at your practice Authentication & eligibility of insurance coverage This is most necessary to make sure that when the DME services are billed, the patient’s insurance coverage has been confirmed and the services/equipment are covered by the insurance or by the Medicare. If not, this could lead to delays in payment and resubmissions which could prove costly in the long run Trained in-house staff or Get Outsourced expertise No matter what you go for in-house DME billing or outsource, workers employed in handling the claims submission need to be knowledgeable about the different rules and requirements for claims submissions. The healthcare regulation changes can impact the RCM process and DME services can see reimbursement rates drop by 60% percent at any…

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  • DME Billing Services
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    Why are DME suppliers favoring Billing companies?

    Going outsource from your local demographics to attain a higher return on investment is the latest trend engulfing healthcare units, clinics, hospitals, and outpatient facilities in the U.S. Partnering medical billing companies help Physicians to effectively survive and make an impact in tough economic clout, as they are specialists in resolving delayed payment issues, lagging A/R days, denial and follow-up management and most importantly cut down the errors in medical billing and coding of your DME supplies. What did you get with a DME Medical Billing Agency? DME medical billing agencies provide practitioners and insurers quick access to talented resources, which are prepared to execute assigned tasks immediately. Value-added services with satisfactory results are the need of the hour for many DME suppliers. Hiring a company that only deals in delivering revenue-based result not just emphasizes the cash flow, but brings to fore a streamline and combined effort to desired results. These billing companies provide end-to-end and a comprehensive medical billing service. They also take up short term projects helping in clearing the A/R back-logs, as DME billing agencies are flexible and quickly adopts changes to provide good process results. Keep in mind that a good company combines both its…

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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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  • DME Billing Services
    what-will-2017-bring-for-dme-practices

    What will 2017 bring for DME practices?

    A recent 2016 report by Grand View Research predicted that the durable medical equipment (DME) market is expected to reach USD 242.1 billion by 2024. This will probably turn out right, going by the simple logic that the aging population need for chronic disease management tools and devices and remote monitoring devices will increase in the coming years.  So the physicians and healthcare providers, who are still deciding whether or not to take up DME services as an ancillary service to their practice, will see a greater inflow of revenue keeping the Revenue Cycle Management (RCM) profitable, given the growing need of the geriatric population for use of durable medical equipment. Although Obama care may and could be rescinded in the coming months, yet certain basic concepts like reducing the length of hospital stay, a key strategy to help reduce medical expenses by the state, will lead to an increase in home healthcare settings. Reduction in length of stay at hospitals will inevitably increase focus towards home healthcare. Hence, for long term care and post-operative recovery, home healthcare will be the preference and will boost the demand in home healthcare. Already with the aid of government funding and public private partnership the…

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