Title: Top Reasons for Revenue Leakages in Durable Medical Equipment (DME) Billing (1)
1Top Reasons for Revenue Leakages in Durable
Medical Equipment (DME) Billing
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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
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3Top 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/
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4Top 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.
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5Top 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.
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6Top 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.
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7Top 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.
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888-502-0537
8Top 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.
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888-502-0537
9About 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.
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10Contact 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
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888-502-0537