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 maintain a steady cash flow, it is necessary to have an expert
team that handles audits, claims submission, follow-ups and so on. By
hiring a reliable billing partner, DME
billing setbacks can be dealt with ease and billing costs can be reduced by
80%. Billing companies also ensure 100% HIPAA compliance along with
offering monthly customized reports.
Error-free billing for durable medical equipment is
critical because even if one medical device is billed incorrectly, it will
result in a loss of thousands of dollars. Also, unlike most clinical
procedures, DME billing suffers from various challenges. For instance, DMEs are
mostly ancillary services and are often deemed as medically unnecessary. Also,
at times, prescribed DME doesn’t meet the permitted reimbursement level and if
there is a lack of HCPCS (Healthcare Common Procedure Coding System), then also
timely payments become a challenge.
DME Billing is complex in nature- this is something that almost all
practices dealing with durable medical equipment will agree with. Quite often,
providers get substantial orders for supplies but they fail to recover the
expected revenue due to inexperienced billing staff and their inability to work
around an effective DME revenue process.
With the rise in the number of aging patients, market for durable
medical equipment is expanding. It is also growing because patients now desire
to stay in their homes. It is expected that the global durable medical equipment market will display growth by a CAGR
of 6.14% during 2018-2023. But if effective billing practices are not in
place, then getting paid will become a challenge.
Since DME Billing Service Provider has
also been hit by regulatory changes such as the Final Rule, having a team of
expert billers and coders has become a necessity. CMS has made it necessary to
establish a prior authorization process for some orthotics, DMEs, prosthetics,
and supplies under this rule. Now practice managers have to build a proper
prior authorization process which is quite time-consuming. Complications involve
in creation of this process affect revenue generation and billing in
negative manner.
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
247 Medical Billing Services
Tel: +1 888–502–0537
Email: info@247medicalbillingservices.com
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