7 Most Common DME Billing Challenges

1. 7 Most Common DME Billing Challenges HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

2. 7 Most Common DME Billing Challenges With the aging population and sleeping disorders such as sleep apnoea rising, the Durable Medical Equipment (DME) industry is experiencing a demand for equipment like never before. Now-a-days, pollution is also impacting many lives making them suffer from respiratory illnesses, demanding the equipment to support their breathing. In addition, lifestyle changes lead to more gastrointestinal dysfunction, hence the need for feeding tube equipment. All these will eventually lead to more people looking for healthcare equipment at home to improve their quality of life. Not only the growth in the market for DMEs will rise further, but it is also making the DME billing process more complex than ever. The reimbursement is becoming a challenge, taking a heavy toll on the service providers. While many DME services are already facing billing challenges, some anticipate it. But to mitigate the problem, one needs to be aware of the common DME billing challenges. Here are the seven most common challenges. Read more… HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

3. 7 Most Common DME Billing Challenges 1. Coding Errors There is a lack in the coding process in the Healthcare Common Procedure Coding System because it is not streamlined. This often results in healthcare providers failing to get reimbursement for the services rendered. Usually, the error involves using the correct modifiers, checking the payer and coding reports, and unclear narration causes repayment challenges in the DME billing and coding. The top five DME coding errors are: Incorrect usage of the HCPCS codes In the trauma and fracture diagnosis, the failure to use the seventh character accurately Misidentification of respiratory failure Failure to note the proper components, devices, grafting materials, etc. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

4. 7 Most Common DME Billing Challenges 2. Faulty Document Management Every DME business is required to manage and compile innumerable documents every day. It hence needs an efficient document management system in place, storing it and retrieval process for critical business information. Unfortunately, the lack of proper software for digital document management often results in claim dismissals due to poor or incorrect documentation, business data loss, and, eventually, loss of revenue3. 3.Regulatory Challenges Like any other medical billing service, DME billings undergo frequent regulation changes. As a result, DME services often fail to stay on top of these latest changes and adhere to the new regulations and rules. This eventually affects the DME billing and reimbursement for the services. It is important to note that DMEs have a more complex and rigorous regulatory system in place, which often leads the service providers to be in a difficult situation with Medicaid and Medicare Services. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

5. 7 Most Common DME Billing Challenges 4. Denials due to AR Management One of the billing challenges that often cause the DME services to fail is the sloppy AR management. 5. Failure to Adhere to Payer Guidelines One of the significant challenges in billing that the DMEs faces are cross payers denying the claims 6. Trailing Billings Many times, DME providers face the billing on time challenge, thus restricting the cash flows. As a result, many try to use shortcuts to catch up with the shortfalls. But in the long run, it leads to more complexities instead of increasing the revenue. With denials piling up and the management failing to follow up, the burden of the collection rate increases aggressively. 7. Untrained Staff Most DMEs are overburdened with work, and the failure to train and educate the staff on the new guidelines and the DME compliance policies that are in effect results in incorrect billing and coding. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

6. 7 Most Common DME Billing Challenges How to Overcome the DME Billing Challenges? One of the best ways to overcome the DME billing challenges is outsourcing the DME billing services and RCM system. But it would be a grave mistake to outsource it to anyone24/7 Medical Billing Services is one such third-party DME billing company that offers the best DME billing services with a team of experts efficient in management. A partner like us provides an integrated technology platform that helps you drive the business better with improved ROI. The services offered by 24/7 Medical Billing Services in DME billing elevate the patient’s experience and optimize the cost of the facility with the proactive risk mitigation plans in place. Our DME billing experts are always on top of their game with the latest knowledge of the CMS rules and regulation changes and policies and practices that any DME services need to comply with to stay in business. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

7. 7 Most Common DME Billing Challenges About Us: We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses. HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/

8. 7 Most Common DME Billing Challenges Media Contact: 24/7 Medical Billing Services Georgia 3001 Greenfield Drive, Marietta GA Ohio 28405 Osborn Road, Cleveland, OH 4414030068 Texas 2028 E Ben White Blvd, #240-1030 Austin TX, 78741 Delaware 16192 Coastal Highway, Lewes, Delaware 19958, United States Phone no / Fax : +1 888-502-0537 Email us: info@247medicalbillingservices.com HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/