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7 Most Common DME Billing Challenges


DME billing process is becoming more complex than ever. Call the 24/7 MBS experts to know about the DME billing challenges with its solution. – PowerPoint PPT presentation

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Title: 7 Most Common DME Billing Challenges

7 Most Common DME Billing Challenges
7 Most Common DME Billing Challenges
With the aging population and sleeping disorders
such as sleep apnoea rising, the Durable Medical
Equipment (DME) industry is experiencing a demand
for equipment like never before. Now-a-days,
pollution is also impacting many lives making
them suffer from respiratory illnesses, demanding
the equipment to support their breathing. In
addition, lifestyle changes lead to more
gastrointestinal dysfunction, hence the need for
feeding tube equipment. All these will
eventually lead to more people looking for
healthcare equipment at home to improve their
quality of life. Not only the growth in the
market for DMEs will rise further, but it is also
making the DME billing process more complex than
ever. The reimbursement is becoming a challenge,
taking a heavy toll on the service providers.
While many DME services are already facing
billing challenges, some anticipate it. But to
mitigate the problem, one needs to be aware of
the common DME billing challenges. Here are the
seven most common challenges. Read more
7 Most Common DME Billing Challenges
  • Coding Errors
  • There is a lack in the coding process in the
    Healthcare Common Procedure Coding System because
    it is not streamlined. This often results in
    healthcare providers failing to get reimbursement
    for the services rendered. Usually, the error
    involves using the correct modifiers, checking
    the payer and coding reports, and unclear
    narration causes repayment challenges in the DME
    billing and coding.
  • The top five DME coding errors are
  • Incorrect usage of the HCPCS codes
  • In the trauma and fracture diagnosis, the failure
    to use the seventh character accurately
  • Misidentification of respiratory failure
  • Failure to note the proper components, devices,
    grafting materials, etc.

7 Most Common DME Billing Challenges
2. Faulty Document Management Every DME business
is required to manage and compile innumerable
documents every day. It hence needs an efficient
document management system in place, storing it
and retrieval process for critical business
information. Unfortunately, the lack of proper
software for digital document management often
results in claim dismissals due to poor or
incorrect documentation, business data loss, and,
eventually, loss of revenue3. 3.Regulatory
Challenges Like any other medical billing
service, DME billings undergo frequent regulation
changes. As a result, DME services often fail to
stay on top of these latest changes and adhere to
the new regulations and rules. This eventually
affects the DME billing and reimbursement for the
services. It is important to note that DMEs have
a more complex and rigorous regulatory system in
place, which often leads the service providers to
be in a difficult situation with Medicaid and
Medicare Services.
7 Most Common DME Billing Challenges
4. Denials due to AR Management One of the
billing challenges that often cause the DME
services to fail is the sloppy AR management. 5.
Failure to Adhere to Payer Guidelines One of the
significant challenges in billing that the DMEs
faces are cross payers denying the claims 6.
Trailing Billings Many times, DME providers face
the billing on time challenge, thus restricting
the cash flows. As a result, many try to use
shortcuts to catch up with the shortfalls. But in
the long run, it leads to more complexities
instead of increasing the revenue. With denials
piling up and the management failing to follow
up, the burden of the collection rate increases
aggressively. 7. Untrained Staff Most DMEs are
overburdened with work, and the failure to train
and educate the staff on the new guidelines and
the DME compliance policies that are in effect
results in incorrect billing and coding.
7 Most Common DME Billing Challenges
How to Overcome the DME Billing Challenges? One
of the best ways to overcome the DME billing
challenges is outsourcing the DME billing
services and RCM system. But it would be a grave
mistake to outsource it to anyone24/7 Medical
Billing Services is one such third-party DME
billing company that offers the best DME billing
services with a team of experts efficient in
management. A partner like us provides an
integrated technology platform that helps you
drive the business better with improved ROI. The
services offered by 24/7 Medical Billing Services
in DME billing elevate the patients experience
and optimize the cost of the facility with the
proactive risk mitigation plans in place. Our DME
billing experts are always on top of their game
with the latest knowledge of the CMS rules and
regulation changes and policies and practices
that any DME services need to comply with to stay
in business.
7 Most Common DME Billing Challenges
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.
7 Most Common DME Billing Challenges
Media Contact 24/7 Medical Billing
Services Georgia 3001 Greenfield Drive, Marietta
GA Ohio 28405 Osborn Road, Cleveland, OH
4414030068 Texas 2028 E Ben White Blvd,
240-1030 Austin TX, 78741 Delaware 16192
Coastal Highway, Lewes, Delaware 19958, United
States Phone no / Fax 1 888-502-0537
Email us info_at_247medicalbillin
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