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  • DME Billing Services
    Advantages of outsourcing Durable Medical Equipment billing

    Advantages of outsourcing Durable Medical Equipment billing

    Administrations of Durable Medical Equipment (DME) billing can be a tedious and time-consuming task. In addition to other things, it requires inside and out knowledge of reimbursement rules of Medicare, Medicaid, and Commercial Plans, and their admonition. It likewise requires consistent adherence to quality and staying side by side of the considerable number of change events in repayment regulations and coding and documentation prerequisites. When you outsource your medical billing operations, the billing team focuses exclusively on the filing of claims, so there is no pressure on them to treat urgent patients or save lives. They take the workload off your back, freeing up your doctors and team to focus on other matters. There are several advantages of outsourcing Durable Medical Equipment Billing, some of the advantages are listed below: 1. More Control: It is a common misconception that by outsourcing your medical billing services you can lose control over your business processes. In fact, many people feel that they have better control over their medical billing processes and the money involved due to a trained and dedicated outsourced billing staff. This increased control directly ties in with your operational benefits, which stand to benefit from outsourcing. 2. Increased Revenues:…

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  • DME Billing Services
    Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Update 2019

    Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Update 2019

    CMS happens to announce in the year 2019 about Medicare fee schedule rates for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). The 2019 update factor is 2.3%, although other pricing policies are applied in specific circumstances. The DMEPOS and PEN fee schedule files contain the Healthcare Common Procedure Coding System (HCPCS) codes that are subject to the adjusted fee schedule amounts under Section 1834(a)(1)(F) as well as codes that are not subject to the fee schedule Competitive Bidding Program adjustments. For CY 2019, the following Fee Schedule Adjustment Methodologies apply and fee schedule amounts are based on the area in which the items and services are furnished. Fee Schedule Amounts for Areas within the Contiguous United States To determine the adjusted fee schedule amounts, the average of Single Payment Amounts from CBPs located in eight different regions of the contiguous United States are used to adjust the fee schedule amounts for the states located in each of the eight regions. These Regional SPAs or RSPAs are also subject to a national ceiling 110 percent of the average of the RSPAs for all contiguous states plus the District of Columbia) and a national floor (90% of the average of the…

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  • DME Billing Services
    Advantages of Online Durable Medical Equipment Shop

    Advantages of Online Durable Medical Equipment’s (DME) 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…

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  • DME Billing Services
    Which DME medical supplies are covered by Medicare Part B?

    Which DME medical supplies are covered by Medicare Part B?

    Durable Medical Equipment Billing is somewhat unique if we compare it with other specialty billing. Basically, Durable Medical Equipment (DME) gives therapeutic benefits to patients experiencing certain healing conditions and/or some diseases. So a DME is built to serve the medical purpose of patients for regular use at home or in a hospital or any other healthcare unit. Standard DME products (Part A and B) include: Wheelchairs Orthotics Slings Supports Cranes Pressure sleeves Nonetheless, it is astonishing that apart from the significance, DME billing has lots of uncertainty around it. It is extremely appalling that despite DME suppliers getting an adequate doctor prescription for provisions, they frequently struggle to cover their said revenue/income. Distinctive DME organizations have diverse DME billing styles relying upon the frequency. A few organizations charge consistently as and when required while a few others charge a couple of times as the year progressed. DME billing should be to a great extent be careful and precise as a single billing and coding error can lead to a major loss thousands of dollars for the DME merchant. The doctor may suggest a DME provider or the patient should look for one in his region. But, in any case,…

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  • DME Billing Services
    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 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’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 Services
    3 most commonly used software for DME billing

    3 most commonly used software for DME billing

    DME(Durable Medical Equipment)s are prescribed by medical practitioners for inpatient or outpatient use and needs to be approved by the patient’s insurance. Why is it necessary to install the correct billing software, especially when you are in DME practice? Well, ensuring you are compliant at every step in your DME billing process is very essential to get your claims paid. Billing according to contractual requirements, local or national coverage determinations, meeting timely filling limits, etc are some of the basic requirements that you could meet and yet be denied a claim. There are many more reasons than these pre-requisites- providing evidence of the medical necessity to justify payment received especially when and if audited, providing proof of delivery prior to being reimbursed by patient’s payer, are all part of the complex Revenue Cycle Management (RCM) system which needs to be streamlined. And herein lies the greater complexity – the solution itself becomes the problem- which of the many billing software are appropriate for DME billing practice – so that one can track the completion of each step in the gathering and collecting of medical documentation for each claim? We have taken 3 of the most commonly implemented DME billing software…

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