Medicare is an insurance program, offered by the
federal social committee and popular among DME billing
companies and customers as well. It focuses primarily on older and disabled
people. Medicare holds a share of 21% in terms of U.S healthcare expenses and
17.8% of Americans based out of the U.S have been covered by Medicare.
Therefore, most of the DME billing
companies first prefer enrolling in insurance programs offered by Medicare.
If you are a new DMEPOS supplier, you should
definitely register your business with the Medicare enrollment application to
become qualified to get paid for insured customers through Medicare. This blog
takes you through the complete Medicare procedures for DME billing and
how it is effective as well.
The application form provided by Medicare requires
you to fill in all the information about you and secures only the needed
documentation. This cross check’s your eligibility criteria before you apply
for DMEPOS with Medicare and then allows you to enroll in the program.
How to enroll in Medicare?
The
Medicare enrollment process is very simple and quick as well.
- First, the National Supplier Clearinghouse (NSC) initiates and
progresses your enrollment application and proceeds with the verification
of your information.
- In case
NSC asks for more information in the due course, you should be in a
position to provide the same.
- You should respond to the mail requests sent
by NSC immediately; showing a delay in response can lead to further delay
in your enrollment.
Enrollment process
The following procedure is for becoming a DMEPOS (Durable
medical equipment, Prosthetics, Orthotics, and Supplies) supplier.
Step 1: The applicant fills and submits the Medicare enrollment
application form and the respective documents to the NSC.
Step 2: The NSC validates the application and carries out
a site visit to ensure and mark compliance with all DMEPOS supplier standards.
Step 3: Once the verification is complete, the NSC informs
the applicant through mails about the status of their decision towards the
applicant’s enrollment application.
If you have any information to be changed in the
Medicare enrollment application form, you should inform the NSC within 30 days
of applying. You do not have to grab a new enrollment form; instead, you can
make use of your existing application form and mention, highlight the changes
alone.
Before we get close to the final step in the
Medicare program enrollment procedure, you must know about the term
Participation. Participation is more or less similar to accepting assignment of
claims every time for all services you offer to beneficiaries of Medicare. It
also ensures that you collect payments as one-time and do not claim other than
Medicare deductible or coinsurance of the beneficiary if any. Though you agree
to the point of participation or not, according to the Social Security Act,
Medicare expects you to submit claims for its beneficiaries without fail.
The participation benefits you in several ways. As
a DMEPOS supplier, you receive the payments directly from Medicare because they
are all assigned. The claim information is transferred to Medigap insurers i.e.
for medical supplemental coverage.
Medicare enrollment and registration
The standard healthcare transactions in recent
times are controlled by the National Provider Identifier (NPI) over the
healthcare provider identifiers. So it becomes an unleveraged rule for DMEPOS
suppliers to acquire the NPI before they intend to enroll in Medicare programs.
Only if you do this, you will be able to bill and be paid for services offered
to Medicare beneficiaries.
Conclusion:
24/7 Medical Billing Services is one such company
that tops when it comes to DME billing and coding, helping independent
doctors, nursing homes, hospitals across the United States, by handling their medical
billing effortlessly and efficiently. The best part with 24/7 is they are
experts in Credentialing, A/R Follow up and denial management services across
the nation.
About 24/7
Medical Billing Services
24/7 Medical Billing Services is the nation’s
leading medical billing service provider catering services to more than 43
specialties across the entire 50 states. You can rely on us for end-to-end
revenue cycle management. We guarantee up to 10-20% increase in the revenue
with cost reduction of your practice for up to 50%.
Call us today at 888-502-0537 to know more on how
we can help boost profitability for your practice.
Media
Contact:
Hari Sudan, Media Relations,
24/7 Medical Billing Services,
16192 Coastal Hwy,
Lewes, DE – 19958
Tel: + 1 -888-502-0537
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