In today’s world of advanced medical technology, the increasing rate of chronic diseases is a key factor for the expansion of the Durable Medical Equipment (DME) Billing market across the globe. In addition to this, the increasing growth rate of the aged population is another reason for the surge in DME billing . Aged individuals are more prone and susceptible to health disorders and problems such as heart diseases, diabetes, kidney failure, arthritis, and many others. This has resulted in the creation of a separate market for various DME products and equipment such as crutches, walkers, wheelchairs, traction and trapeze equipment, hospital beds, oxygen and respiratory equipment, patient lifts, infusion equipment and supplies and several others.
Durable Medical Equipment (DME) billing is quite different and unique from medical billing and other coding procedures. DME billing is a highly complicated and intricate process. It requires extensive, in-depth, and robust knowledge about the DME process, industry mandates, and all the HCPCS level II codes. All Durable Medical Equipment and products are categorized under the HCPCS level II codes. Since expensive medical equipment needs to be purchased, DME billing and coding specialists need to be aware of how to code claims accurately and the timing of claims submission to get the proper reimbursements.
DME billing and coding process:
- Medical practitioner prescribes the necessary medical equipment for the patient.
- Documentation of the patient information and key details.
- Preparation of documents for claims submission citing the reasons why the medical equipment is prescribed to the patient.
- Stringent eligibility check and pre authorization to find out whether the patient is applicable.
- Required permission from the insurer is initiated.
- Initiation of the coding process. This involves identifying the correct HCPCS Level II codes from the HCPCS manual.
- Stringent checks are performed to ensure that every accessory and part of the equipment is correctly coded.
- Once the coding stage is completed, the DME billing company files the claim along with the necessary paperwork to ensure that the insurance company pays the right amount to the healthcare service provider.
- Frequent follow-up on the claims by the DME billing company.
Challenges and problems in DME billing and coding:
DME billing and coding can become highly challenging and demanding if you don’t have skilled and experienced billers and coders. There are several complexities and challenges associated with DME billing. Some of these include gathering and compilation of proper patient data, patient validation, obtaining authorizations, use of the correct forms for claim submission, and HIPPA compliance.
1) Use of redundant and obsolete software
Lack of proper knowledge about the latest DME billing software and use of old backdated software results in unsuccessful billing.
2) Lack of proper documentation
The DME billing process is quite tedious and exhaustive. This is why many billers miss on minute details in the documentation resulting in claim denials.
3) Incompetent resources
Most healthcare providers hire limited DME billers and coders since it is extremely extensive to have a huge team onboard. Working with limited team strength will increase the burden and workload on them. Too much pressure and limited time affects their productivity and efficiency as well, which may lead to errors in the DME billing process.
Outsourcing – An effective way to come out of all DME billing challenges
With the increasing demand and rising salaries of DME billers and coders, the majority of healthcare practices are opting for outsourcing their Durable Medical Equipment billing requirements. This is because outsourcing is not just a convenient option for them but a cost effective one too.
24/7 Medical Billing Services – Simplifying DME billing complexities for you
24/7 MBS is a popular name in the DME coding and billing industry across the globe. We have onboard a highly skilled and experienced team of coding and billing professionals who have in-depth technical knowledge and expertise in DME documentation requirements. They always remain updated regarding any major changes happening in the DME billing industry.
Our team would handle everything associated with DME billing and coding from start to end – from identifying cases that are eligible for reimbursements, claim documentation, and timely submission. Whether you are a well-known healthcare center or an independent medical practitioner, our tailor-made DME billing services are set up as per your requirements. We understand that the requirements of each healthcare provider is different, hence we do not follow a one size fits all approach.
Partnering with us will enable you to streamline your billing process. You can rely on us to prepare claims with accurate codes and submit them to the relevant insurance authorities to get timely reimbursements. Being one of the leading providers of DME billing services, we have assisted several independent physicians, hospitals, and nursing homes across the country and worldwide in increasing their revenue generation from claims. In order to help DME billers and coders, 24/7 MBS has produced several helpful educational videos on effective billing and coding tips.
The main objective behind our DME billing and coding services is to reduce the workload and pressure on physicians and medical practitioners. Our services empower them to focus on what they are best at doing, i.e. taking care of their patients. In order to extend the benefits of our services to everyone, we have recently introduced DME billing on an hourly basis, at just 8 US dollars per hour” says Harry, CEO, 24/7 Medical Billing Services.
DME Billing Services at just USD 8 per hour – A new initiative by 24/7 MBS
In an attempt to simplify things for medical practitioners and healthcare centers, 24/7 MBS is offering DME billing and coding services at just $ 8 per hour.
“Any medical service provider can reduce their AR in just $ 8 per hour. This is a one of a kind initiative launched by us and is strictly a limited period offer. The reason behind launching this scheme is to cater to the needs of startups and independent medical practitioners within a limited budget. This special initiative is aimed at giving you the highest collection rates and reducing your AR bucket by a significant margin. ” says Ken Staten, Sales Director at 24/7 MBS.
Ken elaborated further, ” If you choose us as your medical billing partner and sign up for the limited period offer, we would be providing free credentialing -services as a part of the extended service agreement. We specialize in medical credentialing and have already credentialed thousands on the insurance panels. We’d love to credential you too!”
Distinctly different medical billing services from 24/7 MBS
Are you a startup healthcare center or a new medical practitioner? Are you looking out for outsourcing your DME billing work to a company who has expertise in Brightree, BFLOW, and Advanced MD. Our unique and different $ 8 dollars per hour billing services can provide you with a plethora of benefits.
1) Eliminates the chances of billing and coding errors
Being experts in the coding industry, we perform constant stringent quality checks which nullifies the chances of any errors in the DME billing process. This is something which your in-house experts won’t be able to do easily.
2) Saves valuable cost and time
Outsourcing your DME billing work to us helps you to reduce your operational costs by a significant margin. Moreover, you can focus on your patients rather than spending unnecessary time overlooking the billing process.
3) High collection rates
Our DME billing services help you achieve the highest collection rates and reduce your AR bucket by a great number at just $ 8 per hour.