Top Reasons for Revenue Leakages in Durable Medical Equipment (DME) Billing (1) - PowerPoint PPT Presentation

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Top Reasons for Revenue Leakages in Durable Medical Equipment (DME) Billing (1)

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Revenue leakages are a major concern in the healthcare industry. They are the difference in the claimed amount that healthcare providers are entitled to receive versus the amount of the reimbursement they actually receive. This phenomenon is especially common in the Durable Medical Equipment (DME) billing & coding industry because of the inherent cumbersome nature of DME billing. – PowerPoint PPT presentation

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Title: Top Reasons for Revenue Leakages in Durable Medical Equipment (DME) Billing (1)


1
Top Reasons for Revenue Leakages in Durable
Medical Equipment (DME) Billing
info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
2
  • Top Reasons for Revenue Leakages in Durable
    Medical Equipment (DME) Billing
  • Revenue leakages are a major concern in the
    healthcare industry. They are the difference in
    the claimed amount that healthcare providers are
    entitled to receive versus the amount of the
    reimbursement they actually receive. This
    phenomenon is especially common in the Durable
    Medical Equipment (DME) billing coding industry
    because of the inherent cumbersome nature of DME
    billing.
  • Read More

info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
3
Top Reasons for Revenue Leakages in Durable
Medical Equipment (DME) Billing
  • As per the Harvard Business Review, the top
    hospitals have lost hundreds of millions of
    dollars of income due to revenue leakages.
  • As per American Hospital Association, all kinds
    of U.S. hospitals reported approximately 620
    billion in uncompensated care costs since 2000.
  • Looking for a Quote? Let's Connect
    http//www.247medicalbillingservices.com/dme-medic
    al-billing-services-at-only-usd-8-per-hour/

info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
4
Top Reasons for Revenue Leakages in Durable
Medical Equipment (DME) Billing
  • Top reasons why revenue leakages happen in DME
    billing and coding
  • Denial of claims 20 of all revenue loss is due
    to denial of claims. Claims can majorly be denied
    if
  • Demographic Information of the patient is
    incomplete.
  • Information is missing or invalid.
  • Medical Necessity of DME usage is not clearly
    mentioned.
  • CPT code, Modifier, PIN, or NPI is incorrect or
    missing.
  • Duplicate claim or service is found.

info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
5
Top Reasons for Revenue Leakages in Durable
Medical Equipment (DME) Billing
Inaccurate codes Another common reason for
revenue leakage is incorrect coding of
accessories or equipment. Only when the DME
biller identifies the right HCPCS level II codes
and sends over the claim with authorization
paperwork, the insurance company will pay the
claim. Non-compliance All the guidelines laid
down by the Health Insurance Portability and
Accountability Act (HIPAA) and the Office of the
Inspector General (OIG) must be followed to the
last bit in order to prevent complete rejection
of your claims and thereby leakages in revenue.
info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
6
Top Reasons for Revenue Leakages in Durable
Medical Equipment (DME) Billing
Lack of real-time monitoring Theres no
substitute to correct and real-time data. If
thats not available and there are discrepancies
in your data, be sure of major revenue leakages.
Why? Because without real-time data, decisions
will not be backed up by accurate data. For
example, if the insurance policy does not cover a
specific treatment, this can be communicated to
the patient and the provider beforehand so that
there are no issues in the DME billing. Incorrec
t data Inaccurate data entry in the database can
give rise to mismanagement of funds and thereby
revenue leakage. Until the data is meticulously
collected and analyzed by experts, error-free
billing is a distant dream.
info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
7
Top Reasons for Revenue Leakages in Durable
Medical Equipment (DME) Billing
  • Failure to Follow-up Failure to follow-up
    regularly can sometimes lead to non-payment of
    claims. If theres a delay or the claims are
    outrightly rejected, DME billers need to follow
    up or resubmit the claims to avoid revenue
    leakage.
  • Lack of expert guidance By now you know that DME
    billing is an exhaustive process and must not be
    handled without expert guidance. Revenue leakages
    mainly happen when non-professionals venture into
    it and do not adopt DME billing outsourcing.
    Billing professionals can help you avoid errors,
    identify loopholes, get payments on time, manage
    denials and rejections of claims, and streamline
    the entire billing process so that you receive
    the payments you deserve.

info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
8
Top Reasons for Revenue Leakages in Durable
Medical Equipment (DME) Billing
  • The first step to avoid all forms of revenue
    leakage in DME billing and coding is to identify
    the loopholes. By giving the process in the hands
    of experts, you ensure that youre focusing on
    what youre best at treating patients, which by
    the way will lead to revenue generation in the
    long run.

info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
9
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_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
10
Contact us
  • 24/7 Medical Billing Services
  • 16192 Coastal Hwy,
  • Lewes, DE 19958
  • USA
  • Phone no
  • 1 888-502-0537
  • Email Address
  • info_at_247medicalbillingservices.com

info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
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