durable medical equipment

  • DME Billing Services
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    New CMS Proposals Streamline Medicare Coverage for Innovative and New Diabetes Devices

    Lately, CMS has proposed new changes to Medicare Durable Medical Equipment, Prosthetics, Orthotic Devices and Supplies (DMEPOS) coverage, and payment policies. These proposed new changes will streamline Medicare coverage for innovative and new diabetes devices and this brief will help you to understand “How”. The proposed rule for innovative and new diabetes devices New CMS proposals help innovators to understand a more predictable path about the kinds of products that Medicare will pay for. For example – As per the agency, new changes that could expand Medicare coverage for continuous glucose monitors and insulin pumps. However, the current CMS rule only covers therapeutic CGMs or FDA approved for use in making diabetes treatment decisions, such as based on only CGM readings one’s diet or insulin dosage can be changed. New CMS Proposals have expanded the interpretation regarding the appropriate use of external infusion pumps for use in the home and can be covered as DME under Medicare Part B. You will also find the main driver behind the proposed rule is to increase access to drug infusion therapy services in the home including insulin pumps as well as reduce administrative burdens. These administrative burdens mainly occur due to complicated government…

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  • DME Billing Services
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    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
    Benefits of Hiring a Durable Medical Equipment Billing and Coding Agency

    Benefits of Hiring a Durable Medical Equipment Billing and Coding Agency

    As per industry research, 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 that 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 considered as DMEs is prosthetic devices, wheelchairs, oxygen equipment, insulin pumps, walkers, hospital beds, power mobility devices, etc.  It is known that around 80% of the bills contain errors of some sort of the other, either incorrect details or the inability to follow the latest rules and regulations. It also…

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