A Case Study On DME Billing Services

One of our clients based out of California is a reputed DME billing impacted their profit margins to a great extent. 

software company. They were searching long and hard for a dependable DME billing partner as they were looking for ways to aggressively expand their RCM business. They wanted to outsource a portion of their revenue cycle management because their in-house team and manual processes wouldn’t have been able to scale. This would have the challenge.

There were quite a few challenges our team had to face during the project. Our client wanted the work to start immediately so that the backlog can be cleared. Also, they wanted to ramp up the new business in a short time frame so that there was less impact on the existing business and efficiency.

Solution

As their preferred partner, we started work by assigning DME billing experts to work with their existing team. This was needed for modifying processes and ensuring that the workflow met the business needs.

Our team streamlined processes and improved efficiency to deliver the solution to the client ahead of schedule. This helped in reducing turnaround times and the client was also able to maintain a 48 hour turnaround time in sales order and cash posting.

With the help of our billing experts, the client has also maintained their A/R days consistently due to which their cash flow has increased to a great extent.

Choosing 247MBS for DME Billing

At 247MBS, we understand that DME billing can be a tedious and time consuming process. It requires in-depth understanding of reimbursement guidelines that are set by Medicaid, Medicare and other commercial plans. It also requires adherence to quality and reimbursement regulations.

247MBS has been into the DME billing and coding domain for several years. Our company takes pride in its team of highly experienced DME billing experts who understand DME billing needs and cater to all the DME billing requirements of our clients.

With 247MBS by their side, our clients have been able to leave all their DME billing worries aside and deliver quality care. The main goal of our company is to maximize cash flow and ensure that each claim is being paid properly. We want our clients to get paid faster for every rendered service. Our years of experience in DME billing have been benefitting our clients across the US. 

About 247 DME Billing Services:

We are a DME billing company that offers ‘24/7 DME Billing Services’ and support physicians, hospitals, DME institutions and group practices with our end to end DME billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses.

Contact: 
247 DME Billing Services
Tel: +1 888-502-0537
Email: info@247DMEbillingservices.com

To Improve Revenue By Higher Amounts With 247 Medical Billing Services

To monitor the hours of working of the equipments there must be a proper Durable Medical Equipment billing services which will enable the medical industry to get increased in revenue. Since we are best in the industry we can provide better services with affordable cost. The medical care industry can have an increased income when they are servicing with our medical billing services. These are just some of the benefits which are gained from implementing a better DME in a medical care industry.

The Durable Medical Equipments play a vital resource in saving many human lives. It is necessary to have all the medical equipments in a medical industry. Without proper equipments the total scenario will get collapsed

Benefits of billing in Durable Medical Equipments

When there is perfect billing in DME then the revenue can be regularly increased without any issues.

· The proper usage will be maintained when they are monitored regularly

· High chances of increasing the revenue

· Proper ICD-10 for no errors in billing

· Reimbursements becomes more effective

· No huge chances for denials and rejections on proper billing

Since we have more experience in this DME we are ready to provide better services than any other billing services in such a short time Services:

Best services

We have implemented ICD-10 coding which are prominently being used in all medical industry. The ICD-10 codes are designed in better ways to get right and accurate billing. Since it has been introduced recently, the coding are new and they have more numbers of coding than past version. Some of the perfect modifiers are being used in our services which easily categories your type of DME being used in medical industry.

Some of the modifiers which we are using are given below:

· RR modifier

· NU modifier

· UE modifier

RR-Rental

The rental modifier specifies that the machine is rental one and does not have the ownership of medical industry. Since it is rental, staffs will have more concern towards handling it. The bills of rental are far different from other machines.

 

NU-Purchase of new equipment

This denotes the medical industry has purchased a new machine which will be quite useful for many operations inside the medical industry. The new purchased equipment will differ in billing.

UE- Purchase of used equipment

When there is just moderate amount, medical industries can go for used equipment since they are little bit old or used one they will have a different modifier in terms of billing.

Likewise the modifiers are designed to make the billing more easy and flexible. Rather than this the ICD-10 codes which we use are best in the industry and even for right and left side we have clear cut coding to get reimbursements without any errors.

Hands of experts

· We tend to stand first in services

· Our services are run by many of the experienced people

· We are ready to work for the upliftment of your medical industry economy

· We are sure to improve your revenue by higher amounts

With our professional services your medical industry can gain by 20% or more than that based on your cooperation in upcoming years. Just get connected with us to know more about our services.

About 247 Medical Billing Services:

We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses.

Contact:
 247 Medical Billing Services
 Tel: +1 888–502–0537
 Email: info@247medicalbillingservices.com

DME Billers Can Avoid Denials And Receive Proper Reimbursement To The Physician

In order to receive timely payments, it has become imperative for DME suppliers to demonstrate medical necessity of the durable medical equipment. Without securing and retaining the right documentation of medical necessity, obtaining Medicare payments can become a nightmare for those involved in furnishing DME and submitting claims.  

All this has pushed the need to have expert billers and coders who are aware of the Medicare regulations and ICD-10 coding changes.

DME Code Changes

Here are some of the April changes to the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) items and services.

Centers for Medicare and Medicaid Services (CMS) has not only added a diabetes code but also changed oxygen coding for the DMzcxE fee schedule by altering the HCPSC Level II modifiers.

Diabetic DME codes- there have been some changes that will affect coding of HCPCS Level II code K0903. According to the CMS, the fees for K0903 are set on the basis of fees for code A5513.

CMS released the DMEPOS fee schedule for 2019 that will be effective for Medicare claims that have a service date on or after 1st of January. Also, according to the AOPA (American Orthotic and Prosthetic Association), in 2019, the  Medicare Fee Schedule for O&P services will also increase by 2.3% compared to the rates in 2018.

Surge in demand for trained coders

Coders need to pay close attention to the details of doctor’s procedures and diagnoses. They will have to use very specific ICD-10 and CPT codes to get reimbursed. For instance, if they are using billing diagnosis code F11.20 on a claim with procedure code 80307, it will reimburse them about $30 less than specifying the exact opioid being used by the patient.

To get paid on time, many suppliers have started outsourcing their billing needs to a third party. Outsourcing is giving them the opportunity to get reimbursed on time, without having to go through the hassles of keeping up with coding and regulatory changes.

About 247 Medical Billing Services:

We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses.

Contact: 
247 Medical Billing Services
Tel: +1 888-502-0537
Email: info@247medicalbillingservices.com

How To Get Error- free DME Billing Services In USA?

DME coding intricacies are deep rooted in HCPCS (Healthcare Common Procedure Coding System) Level II codes and policies by Medicare. Providers will have to hire DME coders who are experts at assigning the right HCPCS Level II codes for timely and error-free billing. They will have to have a good understanding of Medicare policies related to DME. Even the physicians will have to get a good understanding of their vital role in getting reimbursed for rendered services. In order to survive 2019 and get timely payments, DME providers will have to primarily focus on error-free coding.

Focus on providing the right documentation

Each time coders will be using a HCPCS Level II code that ends in 99 (for instance E1399), they will have to provide supporting documentation with it. This is important because if Medicare receives a miscellaneous code, the claim gets suspended and concerning medical records are requested. These records are then checked for possible issues. The miscellaneous code is also reviewed to see if there is any other code that is more apt for the billing process.

So, DME billing demands top-notch coding because only experienced coders are aware of the appointed codes for most DME items.

Medical necessity

There will be a strong need to establish medical necessity of a DME device within the treatment episode. For instance, if a physician is ordering a wheelchair for a patient, it will be necessary to support it as a medical necessity. There are certain policies known as LCDs (Local Coverage Determinations) that are used for addressing necessary equipment usage. Knowledge of these policies will be needed so that the billers can avoid denials and receive proper reimbursement.

Top-notch billing

Streamlined billing service will remain a necessity in 2019 as well because obtaining reimbursement for DME is quite complicated. There are various reasons for this. For instance, from the DME reimbursement standpoint, if the reimbursement doesn’t form a complete treatment episode and just a part of it, the necessity of the treatment episode will depend on the recommendation of the physician. Due to this dependency, reimbursement for DME incidents gets complicated, requiring additional paperwork.

To get timely payments, DME billers will have to handle DME documentation effectively. They will have to have the expertise to handle reimbursement administrative activities starting from the identification of instances eligible for payment to claims preparation and submission.

About 247 Medical Billing Services:

We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow doctors to attract additional revenue and reduce administrative burden or losses.

Contact: 
247 Medical Billing Services
Tel: +1 888-502-0537
Email: info@247medicalbillingservices.com