Durable Medical
Equipment (DME) Billing is quite complicated if you do not follow the proper
coding, documentation, claims filing, and communication barriers. Depending on
these factors, your DME Billing reimbursements are depended up on. Like how
maximum revenue generation is possible in DME billing, at the same time,
experiencing high rate of denials due to simple and complex reasons is also
possible. Through this blog, we would like to highlight the common and top 3
challenges that practices could face in their DME
billing, for everyone’s knowledge and to deal with them prior to
affecting your business.
Challenges in DME billing that stop you from generating revenue
Insufficient documents
Statistical
reports say that just due to incorrect/insufficient documents, $2.6 billion of
amount has been rejected out of the total amount of $3.2 billion in the
Medicare Trust Fund. Documentation being the primary havoc for DME billing and
collection process, it is ideal to properly maintain and submit documents
related to patients. Carelessness or even a small mistake can lead to claim
denial and waste of time and money. This can impact your revenue generation
extremely high.
Errors in DME coding
In a survey
report released by the American Health Information Management
Association (AHIMA), the top coding challenges encountered by
healthcare provider are applying the seventh character for trauma and fracture
codes and using procedure codes inappropriately. Now apart from these two, it
adds even issues such as improper usage of guidance tools, incorrectly
identifying respiratory failure, and performing insufficiency in documenting
devices, components, and grafting materials and more. Therefore, improper codes
can be another strong reason for claim denials, leading to inconsistency in DME
billing process.
Managing claims
When claims
submission is one mega chapter of the DME billing process, claims management is
another crucial process. Your job does not end after submitting claims; it
requires regular follow-ups with the insurer in order to check whether there
are any discrepancies or how many claims are about to settle so that you can
plan your further months. Added to managing claims, DME billing companies do
also have other challenges such as inexperienced billers and coders, complex
pre-authorisation process, and lack of using software.
Conclusion
Being a DME Supplier/Billing company, you should be aware and always
prepared about the constant changes in DME Billing codes and procedures.
Therefore considering the complexity involved in DME billing process,
outsourcing would be the best and ideal solution. If you think of the
advantages you might receive due to DME billing outsourcing, you get the
following:
· Increased revenues
· More control on operations
· Extended customer service
· Maintaining HIPAA compliance patient data safety
· Being updated on changing regulations
· Spend more time for patients
If you are looking to outsourcing your DME Medical Billing process,
choose the best outsourcing partner that can deliver excellence in every
aspect. 24/7 Medical Billing Services
is one of the leading DME medical billing and coding companies with more than a
decade experience in the industry, serving many DME suppliers, medical billing
companies, many medical practices, individual practitioners, etc. They provide
a wide range of services and especially, for DME Billing, they are the first
company to introduce DME Medical Billing Outsourcing at just$8 per hour. Check
out their website for more details.
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 –
24/7
Medical Billing Services,
16192
Coastal Hwy,
Lewes, DE
– 19958
Tel: + 1
-888-502-0537
Email - info@247medicalbillingservices.com
Website – www.247medicalbillingservices.com
