DME 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
    are-you-conducting-the-right-follow-up-on-all-the-dme-denied-claims

    Are You Conducting The Right Follow Up On All The DME Denied Claims?

    Getting to know the basics of denial management is vital for successfully running a medical practice and Durable medical equipment (DME) facility. Facilities that are showing positive bottom line numbers at the end of each month will generally have denial rates below 2%-3%. Also, nowadays payers are embarking system software’s so they can identify different payment procedures which apply the contract requirements. For some insurer’s, it seems that the procedure is skewed to effect denial, whenever anything is unclear. Along with this, most insurance companies expect only a fraction of DME facilities to follow-up on the claim and re-submit a corrected version. Clearly, producing clean claims saves facilities money. Indeed, even with the rising number of claims being denied all the time, DME facilities must not lose heart. There are numerous ways to answer the issue of, how to rectify increasing claim denial rates. Practices can obviously target regular zones of through where a claim denial occurs, but looking beyond the traditional norms is not just enough. Today, even a minute DME billing and coding mistake can lead to a denial or delayed reimbursement. And in such a scenario, if you are not applying the right kind follow up procedures,…

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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
    some-questions-you-need-to-ask-your-dme-billing-service-provider

    Some questions you need to ask your DME Billing Service provider

    As a physician, you feel responsible both towards your patient and staff to verify that all is going well. So too, when you make the decision to outsource your DME billing services – you need to constantly track and check all aspects of the services provided by the DME provider. The reason being- you need to meet compliance and also make strategic decisions from time to time, given the changing healthcare rules & regulations. Wondering what are the questions you need to ask your DME billing service provider? As a physician, you need to remember that the most important component of your practice is to keep the revenues flowing. For this, to work you need to ensure that not just the coding and billing is being done by certified billers & coders but also are they meeting the compliance when processing for claims. The most crucial question however you should be asking your DME service providers is, “Are the DME claims in accordance with Healthcare Common Procedural Coding System (HCPCS) Level II coding guidelines and national and local coverage determinations (NCDs and LCDs)?” Further, when a claim is received, Medicare determines if the ordering/referring provider is required for the billed…

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  • DME Billing
    Overcoming-challenges-faced-by-physicians-prescribing-DME

    Overcoming challenges faced by physicians prescribing DME (durable medical equipment )

    It is well known to physicians that durable medical equipment (DME) services are ancillary to the primary clinical purpose. However, most physicians are also aware that when prescribing DME, they may not get the reimbursement due to them as their admissibility is subject to certain conditions. There may be a number of reasons why physicians who prescribe DME to their patients, their claims are often denied or rejected. The reasons could be due to: Deemed medically unnecessary They did not have the proper credentials and thus deemed Uncertified by Medicare/Medicaid/private health insurers They have claimed beyond the permissible reimbursement level Have not met certain regulations & compliances set down  by the Healthcare Common Procedure Coding System (HCPCS) One of the major setbacks faced by physicians is the lack of drive to back their recommendation with sufficient proof of the service rendered being medical necessary. And this is due to bad processes in verification & documentation, which leads to low resubmission for claims and thus losing a lot of reimbursements affecting their Revenue Cycle Management (RCM) process. Moreover, in 2015, Medicare had a 40 percent improper payment rate for durable medical equipment, prosthetics, orthotics, and supplies, resulting in $3.2 billion losses.…

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