Tips to solve the payment puzzle in DME billing

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• Tips to solve the payment puzzle in DME billing

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Tips to solve the payment puzzle in DME billing

• As a certified DME biller and coder there are a
  number of tasks that establish the reimbursement
  process and leads to the successful growth of
  revenue cycle management. Outsourcing your work
  priorities to experienced medical billing company
  will enable your healthcare business to
  accelerate the pace of income generation, lessen
  operational expenses and increase the efficiency
  delivered by the system.
• Here are some efficient tips to solve the payment
  puzzle in DME billing
• Conducting thorough insurance verification
• Your accounts department first and foremost
  should accurately verify whether or not a patient
  is insured and covered for DME services. If he is
  covered they need to determine for what kind of
  DME services they are entitled. The insurance
  verification team need to ensure that no claim is
  submitted without cross checking this
  information. Similarly, cross-verification of
  spellings of patient names and checking whether
  they have the right information can be very
  helpful in keeping claim denials at bay.

Medical Billing Services in Oregon
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Tips to solve the payment puzzle in DME billing

• Documentation is the key
• Always comprehend the proof of delivery rules you
  should be following
• Apply the right modifiers to confirm you have the
  proper documentation needed for reimbursement
• Be aware of the latest policy changes from major
  insurance providers on pre authorization
  requirements
• Avoid documentation errors
• If you miss to follow to even a single condition
  of payment such as absence of one doctor
  signature, your claim is at risk of falling into
  the inadequate documentation error category,
  which will extend your AR days or cause a denial.
• Handy tips to avoid documentation errors
• As a way to get reimbursed, ensure that your in
  house staff, such as the nurse, medical assistant
  or the doctor himself clearly records and
  documents a face-to-face encounter examination
  with the patient in the 6 months prior to raising
  an order for certain DME equipment.
• Check if the ordering physician and DME supplier
  are enrolled in Medicare on the date of service
  to receive DME reimbursements.

Medical Billing Services in Oregon
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Tips to solve the payment puzzle in DME billing

• Determine that the doctors National Provider
  Identifier is on the valid detailed written
  order.
• Keenly analyze and understand which HCPCS code
  related to DME require a valid detailed written
  order.
• Checking patients medical necessity
• To determine medical necessity, the supplier
  needs to submit a paper trait that greatly
  supports medical necessity for the Durable
  Medical Equipment.
• This includes
• Provider prescription and clinical documentation.
  
• Patients medical record
• Patients clinical and functional status to
  determine medical necessity
• Overall benefits and outcomes from using the DME
• All in all, taking a few steps to optimize your
  DME billing process can drastically improve your
  collection rate and upsurge the revenues.
  However, coming up with a game plan and
  practically implying it are two different things.
  If you still are caught in the DME payment
  puzzle, its time find an able DME medical billing
  and coding partner who can swim you through the
  tiresome documentation work and provide you a
  healthy bottom line at the end of each month.

Medical Billing Services in Oregon