How to Deal with Denials in DME Billing? - PowerPoint PPT Presentation

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How to Deal with Denials in DME Billing?

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Rejections and denials of claims in DME billing greatly impact reimbursements and cash inflows of a DME billing company, and it hits directly the revenue cycle management process. With CMS bringing in close investigations on DME services, the relevant companies are to restructure their business concerns and activities. This helps them in streamlining their processes and improving their revenue as well. But the foremost thing to think of would be why such denials/rejections happen for most DME billing services. – PowerPoint PPT presentation

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Title: How to Deal with Denials in DME Billing?


1
How to Deal with Denials in DME Billing?
info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
2
  • How to Deal with Denials in DME Billing?
  • Rejections and denials of claims in DME
    billing greatly impact reimbursements and cash
    inflows of a DME billing company, and it hits
    directly the revenue cycle management process.
    With CMS bringing in close investigations on DME
    services, the relevant companies are to
    restructure their business concerns and
    activities. This helps them in streamlining their
    processes and improving their revenue as well.
    But the foremost thing to think of would be why
    such denials/rejections happen for most DME
    billing services.
  • Read More

info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
3
How to Deal with Denials in DME Billing?
This blog can guide you with certain points as
a checklist to understand why denials happen in
general and how to deal with it before it goes to
rejection. 1 Check eligibility criteria for
patient and do proper verification The staff
responsible for sending the applications for
claims of a DME billing company should primarily
focus on whether the patient is insured or
covered for DME services and what are the
eligible DME services for them. This checking is
crucial and sometimes, spellings of names,
incorrectly checked information box, etc. can be
the reasons for a claim denial.
info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
4
How to Deal with Denials in DME Billing?
2 Coding and modifiers An invalid or a missed
modifier can lead to immediate rejection of
claims. To avoid this, you should keep a standard
chart that notifies on correct codes and
modifiers to your medical coders and billers.
Whenever there is an addition/update on the
coders and modifiers ensure that it is
immediately reflected on your chart and your
employees are informed about it.Looking for a
Quote? Let's Connect http//www.247medicalbillings
ervices.com/blog/how-to-deal-with-denials-in-dme-b
illing/
info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
5
How to Deal with Denials in DME Billing?
3 Documentation Documentation is the next
crucial one, which could lead to denial of claims
when it is not sufficient or incorrect. Proper
documentation has to support the medical
necessity of any DME product prescribed. This
acts as a helping hand not only during claims but
also in audits to prove the claim is
correct. Every order should contain an
indication of diagnosis/reason for using the
equipment/medication, correct date, and the DME
providers signature. Missing out any one can
lead to rejection of claims. Therefore medical
billers and coders should be very careful with
documentation.
info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
6
How to Deal with Denials in DME Billing?
4 Process and workflow Before your initiate
claims, it is important that you check and know
about your internal processes, workflows and
functionalities. If you identify a problem
persists in the process by itself, changing the
way you work, can save your time and effort of
applying claims and receiving rejection status on
them. You can work out a dedicated and unique
strategic plan for streamlining your DME
billing process by creating a checklist for the
key points aforementioned. Sorting out this
points one by one will always keep you one step
ahead and support you with reducing
rejections/denials in DME billing claims.
info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
7
How to Deal with Denials in DME Billing?
  • You are not too late to follow certain processes
    to make your DME billing and workflow process
    streamlined. See if the following points can help
    you achieve your goal of reduced denials of DME
    bill claims.
  • Revolutionizing and rebuilding your processes and
    organization structure can keep your staffs
    intact with the new rules and procedures.
  • Updating the existing technology and adopting new
    platforms help in keeping processes in one
    direction and make you realize the pain point as
    well.
  • Outsourcing your entire DME billing and claims
    process to an expert company can literally get
    the denials down and ensures smooth cash-inflows.

info_at_247medicalbillingservices.com
http//www.247medicalbillingservices.com/
888-502-0537
8
How to Deal with Denials in DME Billing?
Conclusion 24/7 Medical Billing Services is
a medical billing and coding company that works
rigorously and vigorously to get your claim
reimbursements on-time. The company is well-known
for achieving the maximum number of claims
without encountering any rejections/denials in
claims processing. Contact 24/7 MBS team if you
face difficulty with reimbursements or have high
volume of tasks to be completed. Want to know
more? Lets connect! http//www.247medicalbillings
ervices.com/blog/how-to-deal-with-denials-in-dme-b
illing/

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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