Due
to denial management challenges, DME providers across the US are finding it
hard to collect more and maintain a steady cash flow. 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:
•
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.
•
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.
•
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.
•
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.
There
is no doubt that reduced payer reimbursement and higher patient-financial
responsibility is here to stay. So DME providers need to be prepared to offset
the impact on their revenue cycle.
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
Contact:
247 DME Billing Services
Tel: +1 888-502-0537
Email: info@247DMEbillingservices.com
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