Medical Billing For DME Services

  Durable Medical Equipment or DME has undergone regular renovations over the years due to changes in regulatory compliance. Constantly changing the DME billing landscape always creates so many challenges for the medical equipment suppliers and medical practitioners. DME contributes to approximately 2% of Medicare’s annual expenditure. Then denials are some of the stressful reasons for healthcare professionals while   billing Durable Medical Equipment. Not all DME billing claims will return proper revenue reimbursements for healthcare professionals. DME billing has the maximum denials than any other field in the healthcare services. Its due to various reasons and factors but all these denials cause major damage for revenue payments in the  revenue cycle management process . Some other concerns faced by DME providers, such as fewer collections, billing errors, training expenditure for new staff, discontinued operations in the absence of office staff. DME billing needs prop...

  The increasing complexity in Orthopaedic billing services has made Orthopaedic practices and individual practitioners to think to consider outsourcing. Before we get into benefits of outsourcing, it is important to know challenges in   Orthopaedic billing services . Orthopaedic billing completely relies on proper documentation of pre, post and during patients’ visit to practice. Since the number of services provided by Orthopaedic care is highly different from other diagnostic methods, it requires intensive focus on billing documentation. Challenges in Orthopaedic billing Among several challenges in orthopaedic billing, procedure codes for orthopaedic surgery billing play a key role. Here are the coding challenges that any orthopaedic care highly faces in billing: #1: Incorrect codes Billing related to fractures and their associated types can cause loss of revenue or rejection of claims if incorrect codes are applied while submitting claim applications. For example, when one...

  What do you mean by Denial Management?  Denial Management  is the process of systematically investigating each denial, conducting analysis to determine the leading cause of why each claim was denied, analyzing denial trends to identify a trend by insurance carriers, and redesigning or re-engineering the measure to prevent or lower the risk of future  Denial Management Services . Numerous physician practices lose big bucks in revenue every year due to  denied healthcare claims . Such denials are frequently the result of insufficient denial management policies and procedures. Primarily, you would want to reduce the number of denials by identifying both the root cause and the coded cause, which is ideally done by the  Info Hub denial management team . In addition, each instance of no reimbursement or payment which is less than anticipated should be investigated. Again, this is a vital step in maximizing your  revenue cycle. Top Denial Management Strateg...

  Medical billing and coding offer a strategic advantage for professionals working in the healthcare field. But it can also be a challenge with the constant change in systems and regulations. It is an exhaustive process including coding, medical illustration, adjustment of claims, and medical transcription. Hence, it’s not uncommon for businesses to   outsource medical billing services  nowadays. In fact, outsourcing has proven to be of good help for hospitals, doctors, or practice managers. But if you’re still giving it a thought, here are a few reasons why you should consider it. Easy Management of the Process One might think that in-house billing is easier as you are in full control of the billing. But, it also means that your in-house staff will consistently focus a lot on that. It’s not only about submitting bills, but it also means correcting errors, taking care of reimbursements, and monitoring the whole process. Outsourcing medical billing services will help free ...

  Understanding The Complexity Of DME Billing Durable Medical Equipment (DME) billing   is one of the booming and extensive industries in today’s date. The industry is constantly evolving due to changes in compliance regulations and requirements. It can be a task if the providers don’t have an in-depth understanding, which may result in a larger number of rejected claims, lower reimbursement, and hence lower revenue. What is DME? DME is the medical equipment providing therapeutic benefits that can help people in need due to certain medical conditions, at home or any non-hospital setting. The DME must be medically necessary, requires a prescription, and needs to be authorized before it gets eligible for coverage. DME providers need to have a streamlined billing process for submitting and receiving claim payments from the insurance companies. DMEPOS is a broader concept including SME medical equipment and Prosthetics, Orthotics, etc. DMEPOS equipment includes walkers, crutc...