Medical Billing For DME Services

The healthcare industry is experiencing numerous new trends that have changed the working conditions of medical billing companies and providers. There have been unprecedented advancements in technology, such as the development of medical billing software, Computer-assisted coding (CAC), EHR Alignment, incorporation of  Artificial Intelligence ,  and more. Therefore, maintaining an accurate medical billing system and staying on top of new trends have proved to be complex tasks. Healthcare organizations are also directly impacted in their critical activities by such changes. Medical billing companies and individual practitioners in the US have been outsourcing most of their billing operations to India for quite some time now. For most of them, this has proved to be a healthy option that helps them stay on top of their game in this competitive industry. Here are few reasons why should you choose to outsource your Medical Billing Services in India: 1.Professionals with High ...

  Why Outsource Medical Coding Services? Be it any healthcare organization, their practice reimbursement relies on the accuracy and efficiency of the medical coding, thereby submitting the clean claims. However, medical coding can be time-consuming, complex, and even expensive when you undertake it with your in-house coding team. All these challenges influence most medical practices to consider  medical coding outsourcing . Therefore, any healthcare provider needs to choose between the in-house medical coding team and outsourcing to the outside coding professionals. In the majority of the cases, working with third-party coding experts is the optimal solution as this approach provides multiple advantages. These are as follows: 1.      Up-to-Date Certifications Medical coders need to keep themselves constantly updated with the latest coding systems, best practices, certifications, and other regulatory requirements. Additionally, they need to be aware ...

  Researching on the denials and re-submitting the clean claims is quite a frustrating and time-consuming, tedious process. Thereby, it’s essential to have a claim denial management strategy in place so that you can quickly identify the reasons for the denial, resolve the issues, recover the payment, and prevent further denied claims. The longer you wait to re-submit the claims, the higher the chances of not recovering the maximum reimbursement amount from the payers. Or, even the worst part is that you won’t be able to recover a single penny. Did you know that the healthcare industry experienced an average claim denial rate of 5-10%? However, the good news is that about two-thirds of these denials can be recovered with proper re-submissions, and nearly 90% of them are entirely avoidable. Keeping in mind the above facts, how can you ensure the claim denial rate for your practice is below 5%? Let’s look at some of the everyday struggles arising from claim denial management and how y...

  It is a weird paradox. As the healthcare sector is transiting towards integrated and cost-effective business models, the revenue cycle of the practices is becoming more fragmented and expensive. Drastic cuts in payer reimbursements increase patient payments, and ever-changing regulations are complex, traditional, and outdated approaches to RCM. Thereby, according to a  PwC  survey, 50% of Americans rate the hospital services as poor simply because of affordability and the non-transparency of the pricing policy. To survive in this new economy, health care providers should drive their focus towards patient care. But simultaneously, there are medical bills to be paid to keep the lights on! Fortunately, exemplary patient care and a healthy revenue cycle are no longer mutually exclusive terms. There are well-proven ways of building a sustainable and strong revenue cycle while still paying attention to patient care. Here are the five proven strategies by which you can s...