24/7 MBS has good understanding of Medicare policies related to DME.

DME coding intricacies are deep rooted in HCPCS (Healthcare Common Procedure Coding System) Level II codes and policies by Medicare. They will have to have a good understanding of Medicare policies related to DME.

In order to survive 2019 and get timely payments, Providers will have to hire DME coders who are experts at assigning the right HCPCS DME providers will have to primarily focus on error-free coding. Level II codes for timely and error-free billing. Even the physicians will have to get a good understanding of their vital role in getting reimbursed for rendered services.

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. DME Service Provider 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

24/7 MBS is Aware of the Medicare Regulations and ICD-10 Coding Changes

Outsourcing is giving physician the opportunity to get reimbursed on time, without having to go through the hassles of keeping up with coding and regulatory changes. Medicare payments can become a nightmare for those involved in furnishing DME and submitting claims. In order to receive timely payments, it has become imperative for DME suppliers to demonstrate medical necessity of the durable medical equipment.

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 DME 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 upload being used by the patient.

To get paid on time, many suppliers have started outsourcing 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 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 Service Provider, Reduce Your Billing Cost By 80% With 24/7 MBS

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.

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.

To maintain a steady cash flow, it is necessary to have an expert team that handles audits, claims submission, follow-ups and so on. DME billing setbacks can be dealt with ease and billing costs can be reduced by 80%. By hiring a reliable billing partner, Billing companies also ensure 100% HIPAA compliance along with offering monthly customized reports.

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.

Considering the challenges 2018 is posing for DME Billing Services, seeking support from a professional billing company is the only hope. From navigating through difficulties in insurance approvals and permissible level of reimbursement to HCPCS, a reliable billing company will have the expertise and experience to help practices fight common DME billing challenges.

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 Providers across the US, Collect more and maintain a Steady Cash Flow with 24/7 MBS

DME providers need to be prepared to offset the impact on their revenue cycle.

Several measures are being taken by the US healthcare industry to reduce costs and this has hit DME providers really hard. While they are being reimbursed by Medicare Advantage plans at a lower rate than other plans, growing financial responsibilities are also adding to the pressure.

Here are a few opportunities or ways in which DME providers can protect their bottom line for the coming months:

•       To accelerate reimbursement, DME providers should also make payment easier for patients. This is important because patient payment comprises of a great portion of any healthcare organization’s revenue. So if there are any obstacles that can impede a patient’s ability to pay, then they should be removed. Since most of the DME equipment that patients either buy or rent is expensive, it is important that they have enough options to make payments.

•       Denial management is one of the most effective ways in which they can keep their business running. Nearly 90% of denied claims are avoidable, so they should hire experienced billers to help them get paid on time. By having expert staff, they will be able to proactively address the reasons for denials.

•       Pricing transparency will have to be improved if DME providers want to survive in business. This is necessary because now patients are responsible for more of their healthcare costs and they expect transparency in services as well as devices. It is important to ensure that the patients know what they will pay towards the cost of the product and what they will owe. Doing this will not only help the providers know the information needed to ask for full payment at checkout but also help drive collections? It will also help in improving patient experience.

•       By changing the denials workflow, providers can benefit tremendously. For instance, when denials occur, offices choose to rework on the ones with the highest value. Due to this, they leave smaller denials that can add up to thousands of dollars in missed revenue each year. So reworking needs to be handled in the right manner, facilitating faster resubmission and reimbursement.

There is no doubt that reduced payer reimbursement and higher patient-financial responsibility is here to stay. Due to these challenges, DME providers across the US are finding it hard to collect more and maintain a steady cash flow.

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 Providers Choose to Partner with 24/7 MBS to Get Paid on Time

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.

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.

If you also wish to outsource billing 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. Market is 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. Year into business is 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. 

To Know More About@ http://bit.ly/2qOsPTM

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

Are you planning to Outsource DME Billing Services?

Healthcare provider are investing in a DME billing software to reduce paperwork, cut down expenses and get payments on time. Medical billing software can be of great help in managing the financial information and streamlining the billing and coding procedure. Since it is a time consuming and tedious process, health professionals are choosing to automate medical billing. 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.

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

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.

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.

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.

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.

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.

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

HCPCS codes, ICD-10 and modifiers - Required for DME providers

For DME billing, ICD-10 diagnosis codes are also used, indicating the medical condition of the patient for which the equipment was prescribed. DME or durable medical equipment billing requires appropriate HCPCS (Healthcare Common Procedure Coding System) codes and modifiers. These are needed for describing the items that are being billed.

When a lab requisition, request or referral for DME is being filled, coders will need ICD-10 codes for a patient’s diagnoses.

In DME billing, coders need accurate HCPCS codes along with modifiers that are used for providing more information about the equipment. If the coders are failing to use modifiers or using them in an incorrect manner, then the claims may get denied. Some of the common modifiers include RR- rental, UE- purchase of used equipment and NU- purchase of new equipment.

Intricacies of DME coding

•  DME coding intricacies can be quite challenging for coders. This is because DME codes are deeply rooted in HCPCS Level II codes and policies by Medicare. If the codes are not being assigned in the right manner, claims will get denied.

•  When a coder uses HCPCS Level II code ending in 99, it is important to provide supporting documentation for billing that code.

•  DMEPOS or durable medical equipment, prosthetics, orthotics and supplies are classified as HCPCS Level II codes that start with a letter and are followed by numbers. Whenever a coder is using HCPCS Level II codes, he/she needs to ensure that they are covered by Medicare.

HCPCS Code Range for DME

The HCPCS codes range DME E0100-E8002 is the standardized code set that is important for Medicare and health insurance providers to provide claims.

The 2019 HCPCS Level II code set includes nine new modifiers that will be helping DME billers and coders report services accurately that have been recently adopted or changed by Medicare.

Here are the new modifiers:

•  Modifiers CO and CQ

•  Modifier ER

•  Modifier G0

•  Modifier QA, QB and QR

•  Modifier QQ

•  Modifier VM

There have been certain 2019 changes to the Level II HCPCS codes as well, applicable to items that come under Medicare DME MAC jurisdiction. For instance, narrative changes to A9273 and E0218 for cold therapy, addition of B4105 for entered nutrition and deletion of Q9994, narrative changes to E0483 for high frequency chest wall oscillation devices and J8655 for oral antiemetic drugs. 

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