Common Errors with DME Billing ServicesPDf

1. One of the most scrutinized billing areas by Medicare and other commercial carriers is the Durable Medical Equipment (DME) billing. One of the primary reasons it is often under investigation is that DME billing Services appear to be anything but straightforward. Furthermore, the complexities manifolds when healthcare providers and facilities integrate the DME billing into their service to increase revenues. Medicare has been known to lose more than $60 billion through faulty billing each year, and part of the waste is due to spending on the DME billing. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

2. 1. Patient Verification In most cases, DME claims are denied due to wrong information or small error provided by the CMS or the insurance provider. For example, a slight change in the name that might look insignificant or the way a form has been filled up is deemed wrong by the payer will lead to claim rejection or denial. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

3. 2. Errors with Codes If a document indicates a different code than that of the billed or serviced, the insurer will reject reimbursement. Also, a claim will be rejected or denied if the service is offered by someone else other than the billing provider. There can be coding errors in medical billing services shown as unbundled will get the claim denied. Also, even if the beneficiary has been discharged to another place after the procedure is considered as error. At the same time, the one in the coded claim is different. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

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5. 3. Wrong Use of Modifiers Often in DME billing, wrong modifiers or a misaligned code can reject the claim or get denied. Hence, it is vital that when written codes are used for the service, correct modifiers are mentioned to get the reimbursement for the service rendered. 4. Necessity of the Medical Assistance Once a medical assistance is done in DME service, the documentation needs to prove that the billed service was necessary for the patient. If the Medicare coverage and the insurance providers feel that medical assistance is unnecessary, the claim will be denied or rejected. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

6. 5. Insufficientor IncompleteDocumentation If the medical billing documentation provided has inadequate or insufficient support for the service provided, the payment will be rejected. The onus is on the service providers to prove that the billed services were provided and at par with the level billed. Any missed information like a signature of the physician on the order or an incomplete form that does not have the date or if each date of service it’s not built separately, then the claim will also be denied. Furthermore, before providing the service, the facility needs to check the number of units that service can be delivered within a specific time to the member. If the number of services exceeds the number allowed by the insurance policy, the claim will be rejected. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

7. How To Ensure There Are No Errors? It has been estimated in medical billing and coding services, out of the $3.2 billion that goes to waste in the Medicare Trust Fund, $2.6 billion is due to insufficient documentation. It is essential that proper documentation with adequatemedical coding and correct information is provided so that it does not lead to claims denial. One of the best ways to ensure none of this happens is byoutsourcing DME billing services to an efficient medical billing company such as 24/7 Medical Billing Services. A team of specialized medical billers and coders ensures that all documentation, codes, and modifiers are correct for the claims. Also, they ensure claims are submitted within the time frame. Additionally, in case of any denials, it is appropriately followed up. Moreover, with the constant changing in the CMS rules and regulations, DME billing staff must have in-depth knowledge of the changes. While at a time, it is not possible, an outsourced partner such as 24/7 Medical Billing Services will ensure that all the DME billing is done as per the new laws and regulations. Read More Blogs: Add Profits To Your Practice By Outsourcing Your Medical Billing Services info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

8. 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. • Our company was founded in 2005 and is now a leading organization of highly motivated and certified coders & billers in the US medical billing industry. Our current employee strength is 500+ and we have ambitious plans to grow more rapidly. • As a leading Medical Billing Outsourcing Company we take care of the complete setup & enrolment in about one to four weeks time depending on the complexity of the project. We have certified trainers with 10+ years of experience to train the newcomers so they can get acquainted with the specialty jargons & stay updated with the recent coding developments. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

9. Contact us 24/7 Medical Billing Services 16192 Coastal Hwy, Lewes, DE – 19958 USA Phone no : +1 888-502-0537 Email Address : info@247medicalbillingservices.com info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537