Medical Billing For DME Services

  Upcoding is a fraudulent way of   medical billing   that should not be practiced in the greed of more money. It is the process of claiming more dollars from the insurance payers by submitting a bill for more expensive health services than what is rendered to the patients originally. Though it is unethical, upcoding often occurs when a patient receives any kind of medical procedure or diagnostic services while visiting a healthcare provider. What is the Relationship between Billing Codes & Upcoding? As per the American Medical Association (AMA), each diagnostic test, office visit, or medical procedure performed by a medical practitioner has a corresponding Current Procedural Terminology (CPT) code. When a patient visits your hospital for a healthcare service, your billing team sends a bill to the insurance payer. This bill contains the Current Procedural Terminology code corresponding to the procedure or different medical services done with lower or higher costs. The...

  DME medical billing codes play a crucial role in filing the claims. With the right use of the right DME codes, you can assure of enjoying the higher rate of claims approvals. But if you don’t have clear-cut knowledge about the  DME medical billing  codes, you might face many claim denials. That’s why a lot of importance is given to the billing codes, as they help the insurer identify and measure the extent of the billing required for the procedures or DME equipment. Therefore, the Healthcare Common Procedure Coding System (HCPCS) is the standard set of medical codes used by the medical institutions as per the American Medical Association’s  Current Procedural Terminology   (CPT). Out of the numerous commonly used codes, RR is a modifier used to identify the specific Durable Medical Equipment. But what does RR stands for?  Durable Medical Equipment (DME) can be classified in the following ways: RR – Rental NU – New equipment purchase UE – Used equipment pu...