Outsourcing DME Billing Services- Benefits & Advantages

Medical billing for DME (Durable Medical Equipment) can be quite labor-intensive and time consuming. It is very important that DME providers have a team of expert billers who have a detailed understanding of reimbursement guidelines specified by Medicare, Medicaid and commercial plans.

Here are some of the challenges that DME providers face:

•   DME is considered therapeutic services

•   Some DME services are unauthorized by Medicaid, Medicare and private health insurance plans

•   There is lack of a strong founding in the HCPCS (Healthcare Common Procedure Coding System), which represents Level II codes that are assigned for DME supplies and gears

Another very common challenge with DME services is related to medical necessity. Doctors can prescribe DMEs as a part of their clinical treatment process; however, they need to back it with a proposal along with sufficient verification to prove their medical necessity.

It is very important for DME providers to have a streamlined coding process. If there is lack of a strong grounding in the HCPCS, overseeing level II codes for DME equipment and supplies, then it will lead to the doctors’ less than impressive acknowledgement of DME bills.

In order to overcome challenges in DME billing, many providers choose to outsource this service. Letting a reliable billing company handle DME coding has its own benefits. Here are a few:

•   Outsourcing gives the provider access to a team of highly trained and experienced billers and coders. This team is well-versed in the latest regulations and requirements due to which DME revenue gets a boost.

•   Since a dedicated team handles revenue-related tasks, labor costs get reduced to a great extent. There is no need to hire in-house billers and coders and pay them salaries or employee benefits. Even the cost incurred on infrastructure and technology gets eliminated.

•   Outsourcing gives peace of mind and enough free time to focus on other vital tasks. Providers don’t have to worry about HIPAA compliance because a reliable company will ensure compliance in their services. They will keep data confidential and not let any security breach happen.

•   Providers don’t have to worry about transparency in the billing procedure because a good billing company will provide timely reports. The team will be able to explain statements in a better manner along with handling complaints and addressing issues. This will help in improving patient satisfaction to a great extent for the provider.

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

To get paid on time, many DME Suppliers have Started Outsourcing their Billing to 24/7 MBS

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. Even today, DME suppliers have to encounter heightened scrutiny of their claims for obtaining Medicare payments.

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. 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

DME Service Provider, By hiring 24/7 MBS ensure 100% HIPAA compliance

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 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.

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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 Billing is time consuming and tedious process, health professionals are choosing to automate medical billing.

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. It is very important to have a clear and strong collections process. This will help in ensuring that patients are properly and thoroughly informed of their financial responsibilities. From verifying patient information regularly and having clear payments terms to verifying eligibility and collecting due balances, there are several aspects of a good collections process.

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