Top 5 coding Error For DME billing

1. DME or Durable Medical Equipment is undergoing exponential growth with rising numbers in the aging population and increasing patients suffering from respiratory illnesses and sleep apnea. As such population grows along with the rise in pollution and unhealthy lifestyle; it is evident that the numbers in demand for DME will soar. • Along with this growth, the changes in DME billing continue, and it is one of the few billing systems that is quite complex. However, DME billing is far from being straightforward when added to the healthcare providers so that the practice revenues can increase. • In such a scenario with complex DME billing, it is quite predictable that as a physician you might lose billions or millions of dollars as revenue due to erroneous billing. • Here in this blog we will look into the top 5 coding Errors for DME Billing and other billing errors that lead to revenue loss. Top 5 Coding Errors For DME Billing info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

2. Top 5 Coding Errors For DME Billing info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

3. The top five errors in DME coding • A diagnostic-related group or DRG that drives the HCPCS codes to be misused. • The inaccurate application filled for the fracture and trauma diagnosis codes with the seventh character. • Misidentification of respiratory failure with using the wrong code. • Failure to identify and use the correct codes for the guidance tools. • Insufficient details with the documentation of components, devices, grafting materials, etc. info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

4. Other DME Billing Errors • Patient Data Verification Often, small mistakes such as the error in the name of the patient provided by the CMS or insurance provider can lead to claims denial. Hence, it is of utmost importance that the patient’s details are verified and cross-checked not only before providing the service but also before submitting the claim info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

5. 2. Correct Modifiers A misaligned code and the failure to use the correct modifiers when claiming the bill in DME can lead to rejection of the payment and denial of it. Hence, a biller should ensure that the correct modifiers are used for the services offered. 3. Showcasing Necessity When the service provided fails to showcase the medical necessity in the documentation set by the Medicare coverage and other insurance providers, the payment is bound to get rejected info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

6. 4. Insufficient Documentation The insufficient documentation includes the failure to price the services provided. It can consist of a range of issues such as:  • Services recorded are not at the level of billing, • The form is incomplete, • Doesn’t have the physician’s signature, • The date of each service is not given separately • The units offered to the patient are more than allowed within a time as approved by the insurance company. Insufficient documentation has been one of the plaguing problems in DME that causes low or no reimbursement to your practice. However, it remains one of the critical lapses among healthcare providers. Unless the providers offer the correct codes, modifiers, and other necessary documents, it will lead to DME claims denial. The DME facilities also need to keep abreast with the changing CMS regulation, rules, and policies to manage their claims successfully info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

7. How to get Error Free DME Billing? • One of the most viable options to ensure error-free DME billing is investing time and money in training your staff with the latest DME rules and regulations and updating the system with the latest RCM tools. However, it can still be a faulty method at times. • So the other best way out is to Outsource DME billing to a competent and knowledgeable medical billing company such as 24/7 Medical Billing Services. They have been helping DME practices with improved RCM from decades with their end-to-end medical billing and coding solutions. You can also be assured that there won’t be any coding errors in your DME billing with 24/7 Medical Billing Services. • Read more: DME Billing Services – What To Expect In 2022? info@247medicalbillingservices.com https://www.247medicalbillingservices.com/ 888-502-0537

8. Aboutus • 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