DME Billing Coverage Limitations And Exclusions

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DME Billing Coverage Limitations And
Exclusions  

• Durable medical equipment (DME) billing is an
  essential aspect of revenue cycle management in
  the healthcare industry. As the industry evolves,
  DME has grown in importance and now serves
  millions of patients. However, managing the
  billing processes and reimbursements associated
  with DME can be time-consuming and
  labor-intensive.
• DME billing is becoming more of an administrative
  burden for healthcare providers as regulatory
  requirements continue to grow. In fact, the DME
  billing process is prone to numerous mistakes and
  errors due to such complexities. If not addressed
  properly, these errors can result in claim
  denials or rejections, resulting in significant
  losses for the DME provider.

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• What is DME Billing?
• The process of generating and submitting claims
  for the durable medical equipment provided is
  called DME billing. However, DME billing does not
  cover equipment or devices that are used for
  convenience rather than a medical need of the
  patient.
• What is DME Coding?
• DME billing companies, data analysts, and coding
  specialists submit insurance claims using HCPCS
  (Healthcare Common Procedure Coding System)
  codes. This DME coding system contains a list of
  all the codes used in DME billing services. These
  codes aid in the tracking of supplies and
  equipment given to patients. As a result,
  Medicare and other insurers can process health
  insurance claims more efficiently. HCPCS code
  E0639, for example, denotes a moveable patient
  lift system.

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DME Billing Coverage Conditions

• When a patient has DME benefits and the equipment
  is recommended by a healthcare professional to
  treat or diagnose a long-term disease or illness,
  and the equipment is not otherwise excluded in
  the patient benefit plan document or history.
• DME must not be consumable or disposable for DME
  billing unless absolutely necessary for the
  effective use of covered DME.
• In the absence of disease, illness, or
  disability, the patient cannot use DME.
• For outpatient use in home settings, DME must be
  provided or ordered by healthcare professionals.
• DME must only be used for medical uses or medical
  purposes.

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How to Streamline the DME Billing Process?

• Streamlining the DME billing process can result
  in higher reimbursements for your medical
  practice. Outsourcing to your DME billing
  partner, such as 24/7 Medical Billing Services,
  is the best way to optimize your DME billing
  workflow! Outsourcing DME billing operations will
  allow you to benefit from the expertise of DME
  billing specialists. You can stay up to date on
  policy changes, payer guidelines, regulation
  updates, and so on. Moreover, these professional
  DME billers and coders can help you focus on your
  core expertise, providing quality healthcare to
  your patients. Reach our experts to know more
  about our DME billing services.

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About 247 Medical Billing services
24/7 Medical Billing Services is the nations
leading medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to 50. Call
us today at 888-502-0537 to know more on how we
can help boost profitability for your practice.
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Call us Today
Media Contact 24/7 Medical Billing
Services, 28405 Osborn Road, Cleveland, OH,
44140 Tel [phone] Email
info_at_247medicalbillingservices.com Website
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