Best Practices for DME Billing Services

Are you a DME supplier looking for ways to keep up with your accounts? Do you want to grow your business and get paid on time?

If yes, then you need to ensure that your team is following the best practices for DME billing.

Since the billing and coding rules for DME keep changing, it is very important to have coders and billers who are abreast with the industry changes. From submitting claims on time to adhering to the claims adjudication process, there is a lot that needs to be done in order to keep your business growing.

If handling DME billing and coding is become a stressful task in-house, it is recommended to choose a reliable billing service provider who can help you get paid on time. The billing company will offer you assistance in managing your revenue cycle with the best end-to-end solutions.

Since collections can be a daunting task for DME suppliers, having an expert team really helps. The billing company will work on pending accounts that need a strong strategy for payment collection. Because the team at reliable billing companies have an extensive understanding of the payer processes, it helps to get the job done in time.

Another benefit of hiring a third party for DME billing is the access to best of technology used for reducing TAT along with the best account management methods. An experienced team will be aware of the aging accounts and priorities them to get payments.

Partnering with a good DME billing service provider will give you access to expert staff who are experienced in this industry. Since a dedicated team will be handling the revenue cycle, you will be able to enjoy a big leg up on competition, without having to worry about payment denials or delays.

Besides improving billing efficiency, the team will also provide you detailed reporting related to your revenue cycle, keeping you informed about the financial strength of your business.

To ensure success in the durable DME equipment business, it is important to ensure that your billing needs are being handled by experts. Only with the help of experienced and well-trained coders and billers, you can get rid of aging A/R accounts and reduce denials.

Not just DME providers but many insurance companies also use RCM companies for their adjudication and credentialing needs. It helps them reduce costs and ensure business profitability.

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

DME Market is Growing to Reach $60.2 Billion by 2020

DME providers need to understand the industry really well, particularly around billing and reimbursements. For instance, if they have submitted the claim and it gets denied, they will lose out on that revenue because the product has already been given to the customer.

Even though denials can be appealed, the process will extend the time to get paid and also requires time and money to accomplish. The DME market in the US is growing and it is expected to reach $60.2 billion by 2020. Even though the competitive bidding under Medicare and other regulations are making DME sales challenging, the demand for DME continues to grow every year.

Considering the complexities, many DME providers choose to partner with a billing company in order to get paid on time.

If you also wish to outsource this task to a third party, then here are seven tips on how to partner with the right company:

1.      Make sure that the shortlisted billing company has a strong reputation in the market. Markets flooded with companies run by deceptive people, so you need to invest time into evaluating the billing partner by looking for reviews.

2.      Experience matters, so choose a billing company that has been into this industry for long. Years into business are an indication that they have been keeping their clients satisfied.

3.      Make sure the company has a team of certified billers and coders who have excellent knowledge of ICD-10 and who stay updated with the latest industry changes.

4.      Not to forget, the company needs to have extensive experience in DME billing. This is important because billing for DME is quite different from other specialties.

5.       It is important to ensure that the billing company you are hiring is responsive. Look for speed and availability and make sure that they respond to concerns quickly.   

6.      Check with them if they offer flexible payment options. Also, the vendor should apprise you with timely reminders.

7.      Last but not the least; the billing company needs to be HIPAA compliant. This will give you peace of mind and you will be assured that the company won’t put your business or its reputation in jeopardy.

Besides these factors, you need to make sure that the billing company has a strong reputation of meeting deadlines. The team should be using the latest technology and also be offering effective denial management services. 

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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

Things you should know about DME Modifiers

Wrong use of modifiers is one of the most common reasons why DME claims get denied. There are several DME billing requirements that need to be fulfilled and billing the applicable modifier is one of them.

In addition to the right HCPCS codes for durable medical equipment items, many HCPCS codes also require a modifier. These modifiers are mainly used for providing more information about the durable medical equipment. When the right modifier is used, it can tell the HMSA if the item is new, rented on a capped basis or used.  If the item has been rented on a capped basis, the right modifier will be needed to distinguish which month’s rental is being billed.

Modifiers will always be two digits for Medicare purposes. There are some modifiers that cause automated pricing changes and then there are others that are used for only conveying information. They are not required on all HCPCS codes; however, if there is a requirement and they aren’t submitted, then the claims will get denied.

Here are the categories in which most DMEPOS fall - Frequent and Substantial Servicing DME, Capped Rental, Prosthetics and Orthotics and Customized DMEPOS, Inexpensive or Routinely Purchased DME, Oxygen and Oxygen Equipment.

Some of the common modifiers for durable medical items include RR (Rental), NU (Purchase of new equipment) and UE (Purchase of used equipment). There are certain categories for which modifiers RR, UE and NU are used, including capped rental items, oxygen equipment, inexpensive or routinely purchased items and items that need frequent and substantial servicing.

Here are certain key points that need to be considered if you want your DME claims to get paid on time:

•       It is necessary to ensure that the medical necessity of the DME item has been accurately identified

•       The necessity needs to be documented properly

•       You need to report the right DME item and the right place of service

•       You should know how the payer wants to report the DME item on the claims

Since the use of correct modifiers is important for getting paid, it is recommended to let experts handle the billing and coding procedure. By having a team of experienced billers, you don’t have to worry about denials and delays in payments. This one of the main reasons why many DME providers across the US are choosing to outsource their billing needs to a third party.

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

Streamlined DME Billing Service will remain a Necessity in 2019

Even the physicians will have to get a good understanding of their vital ro

le in getting reimbursed for rendered services. 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. 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

Enjoy the Benefits of Investing in DME Billing Software

If you wish to devote more time on patient care and less on billing and payment challenges, then an integrated DME billing software is just what you need.  Error-free DME billing is necessary for continued successful operations. Since it is a time consuming and tedious process, health professionals are choosing to automate medical billing. If you are investing in a DME billing software to reduce paperwork, cut down expenses and get payments on time.

If you are planning to invest in a DME billing software, then here are a few benefits that you will get to enjoy:

Save time and money

With quality DME billing software, you can save time as well as money in different areas. For instance, it helps in reducing the administrative workload, eliminating the need to hire more staff. Since things are automated, less paper is used which cuts that expense and also reduces the time required for monitoring it.

Efficiency

Entering medical data is a tedious and time consuming procedure but with billing software you can improve efficiency and reduce errors in data submission. Once the patient data is uploaded in the billing software, it becomes easy to transfer the data between systems in a seamless manner. This saves a lot of administration time and effort, resulting in improved efficiency.

Ease in reporting

 New avenues of reporting can be opened up if billing and documentation is linked. For instance, if there is better access to information, healthcare professionals can easily determine the procedures that are losing money. They can then take necessary measures for closing the financial gaps. When every process is integrated, the process of making inferences from one side to another becomes easier.

Timely reimbursements

 Whether it is ICD-10 codes or the background data for patients, incorrect data entry can lead to low reimbursements. Even the most dedicated employee can end up making occasional mistakes in data entry and this can cost you a lot of money. But if you are using billing software, there is no room for incorrect data entry which leads to full and timely reimbursement for the services offered.

Thorough documentation

 Another benefit of using integrated software is thorough documentation. For instance, a chain of documentation is required for claims forms, especially when it is related to a workman’s compensation. In order to hunt down the forms, the administrator needs to be invested a lot of time. But this process can be completed faster and easily with software. The software will find relevant documents, make copies and even send it to all the related parties.

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

Medical Billing become Easier and more effective with Latest Technology- 247MBS

According to a survey by the ACA International, approximately 29% of adults have medical debts or difficulty in paying medical bills. It is apparent from this number that timely patient collection is vital if practices don’t want to leave money on the table.

Then make sure you are doing something to improve patient collections. In order to boost collections, there are some doctors there making drastic changes to non-traditional payment programs.

However, there are several other low-tech ideas that can be implemented for improving billing and collections:

1.       It is very important that medical billing are simple and less confusing for the patients. According to the experts, every patient wants to make sense of their medical bills. Regardless of how the bills are being delivered, patients want to understand what all services they have been charged for. If the bills are confusing and overwhelming, there are chances they will put it aside to deal with later. Therefore, it is necessary for practices to make little tweaks to the bills and strip down the invoice to basics - date of service, balance, due date for payment, number for calling with questions and so on. If the bill is easy to understand, patients are more likely to pay promptly.

2.       Another effective method of bringing in more payments is to have skilled and experienced front-desk and back-office staff. If the staff is well-trained in collection practices, then it will be easier for them to explain the bills to patients along with payment policy details.

3.       There is no doubt that automated calls made to patients, reminding them for payments is time saving but experts recommended calls made by staff themselves. Automated reminders save time but they can also cost practices. When a staff calls, it gives a human touch to the call and there are less chances of the call being ignored. Also, in a live call, patients can ask questions in advance to ensure that prior authorizations are complete and information is also updated.

Undoubtedly, Medical Billing and collections have become easier and more effective with technology but at times, even simple and traditional methods can also work wonders for practices. It is important for providers to hire well-trained and professional staff and invest in good collection practices so that patient experiences can be improved further.

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

With 247 MBS, DME Billing Services will enable the Medical Industry to get increased in Revenue

The Durable Medical Equipments play a vital resource in saving many human lives. It is s necessary to have all the medical equipments in a medical industry. Without proper equipments the total scenario will get collapsed. Since we are best in the industry we can provide better services with affordable cost.

In 2019, CMS released the proposed rule that included potential changes to the DME payment rates. This long-awaited proposed rule is being considered positive because it includes vital improvements for payment in non-bid areas along with improvements to the CBP (Competitive Bidding Program).

The DMEPOS fee schedule has been updated by the CMS for 2019 and several new codes have been added to the HCPCS file. For instance, DMEPOS fee schedule file includes fees for three home infusion G-codes - G0068, G0069 and G-0070. For other new CY2019 codes, the fee schedule amounts will be established under the July 2019 DMEPOS fee schedule update.

Fees have also been added for new HCPCS code (E0467). Fee schedule amounts are also being adjusted for shoe medication codes and mail order DTS. For CY2019, update factor of 2.3% has been applied to few DMEPOS fee schedule amounts. CMS is also implementing monthly fee schedule payment amounts for stationary oxygen equipment.

It has been published by the CMS in order to drive innovation in DME and also to modernize it. Here are some of the highlights of this proposed rule:

•      CBP contracts has been proposed that the beneficiaries will be receiving DME items from any Medicare enrolled DME supplier.

•      For DME furnished, CMS has proposed traditional fee schedule amounts.

•      For non-CBAs that are non-contiguous or rural areas, items furnished from January 2019 to December 2020 will be paid at 50/50 rates and for non-CBAs, items furnished will be paid at current payment rates.

•      CMS has proposed new payment classes for portable oxygen and oxygen equipment, new payment rules for ventilators and has improved payment rates for new DMEPOS items.

DME coders will have to be prepared for coding changes coming their way. For DME providers, the only way to survive will be through hiring experienced coders or by letting a reliable third party handle the challenges of DME billing. 

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

Common DME Billing Errors that must be Avoided

Medicare and several other commercial carriers continue to scrutinize Durable Medical Equipment billing. This has pushed the need to understand and follow DME documentation requirements. If your billers fail to do so, it will not only put your office at risk of an audit but also result in refunding an insurance carrier or CMS which means unnecessary loss of revenue.

Your practice is purchasing DME in hopes to receive a profit in return. Since durable medical equipment isn’t professional services, this poses challenges in obtaining payments.

Some common errors that result in DME claim denials are:

•      Lack of patient data verification is a common reason. If there are small errors in names or the way forms have been filled, then claims get denied either by the CMS or the insurance provider.

•      Another common reason is errors in coding. If your billing staff is submitting medial documentation indicating different codes other than the one billed, the claim will get denied.  

•      It is important that the documentation shows that services billed were medically necessary as per the policies of Medicare coverage and payment.

•      As mentioned-above, lack of sufficient documentation is a huge reason behind DME claim denials. If there is no proper documentation, it becomes difficult for coders and billers to put in the right information. All this will lead to a negative impact on cash flow and also result in wastage of time and effort.

To ensure that DME claims from your offices are being submitted on time and with accuracy, it is necessary that you hire billers and coders who are abreast with the CMS rules and regulations. If they are using wrongly coded modifiers, they will have to face a hit on profits.

Correct documentation is extremely important for DME. Attention needs to be paid when documenting and data should be rechecked before it is streamlined to coders and billers. Documentation needs to prove that the billed services were actually provided. In case of an audit, if it is found that you don’t have proper documentation, your practice will have to give that money back and also face penalties.

Considering the challenges in DME billing and the complexities involved, many providers choose to hire a third party for billing. Outsourcing their billing needs gives them access to a team of skilled coders and billers who work dedicatedly to bring timely payments for their clients.

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