Common Errors With DME Billing Services

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Common Errors With DME Billing Services
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Common Errors With DME Billing Services
One of the most scrutinized billing areas by
Medicare and other commercial carriers is the
Durable Medical Equipment (DME) billing. One of
the primary reasons it is often under
investigation is that DME billing Services appear
to be anything but straightforward. Furthermore,
the complexities manifolds when healthcare
providers and facilities integrate the DME
billing into their service to increase
revenues.  Medicare has been known to lose more
than 60 billion through faulty billing each
year, and part of the waste is due to spending on
the DME billing.  If your practice is losing
money due to the DME billing, it is certain that
you are making some errors. You are likely making
one of the common errors in the procedure. Read
more
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Common Errors With DME Billing Services
We are listing the five most common errors in DME
billing services 1. Patient Verification In
most cases, DME claims are denied due to wrong
information or small error provided by the CMS or
the insurance provider. For example, a slight
change in the name that might look insignificant
or the way a form has been filled up is deemed
wrong by the payer will lead to claim rejection
or denial.  2. Errors with Codes  If a document
indicates a different code than that of the
billed or serviced, the insurer will reject
reimbursement. Also, a claim will be rejected or
denied if the service is offered by someone else
other than the billing provider. 3. Wrong Use of
Modifiers Often in DME billing, wrong modifiers
or a misaligned code can reject the claim or get
denied. 4. Necessity of the Medical
Assistance Once a medical assistance is done
in DME service, the documentation needs to prove
that the billed service was necessary for the
patient. If the Medicare coverage and the
insurance providers feel that medical assistance
is unnecessary, the claim will be denied or
rejected. 
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Common Errors With DME Billing Services
4. Necessity of the Medical Assistance Once a
medical assistance is done in DME service, the
documentation needs to prove that the billed
service was necessary for the patient. If the
Medicare coverage and the insurance providers
feel that medical assistance is unnecessary, the
claim will be denied or rejected.  5.
Insufficient or Incomplete Documentation If
the medical billing documentation provided has
inadequate or insufficient support for the
service provided, the payment will be rejected.
The onus is on the service providers to prove
that the billed services were provided and at par
with the level billed. Any missed information
like a signature of the physician on the order or
an incomplete form that does not have the date or
if each date of service its not built
separately, then the claim will also be
denied.  Furthermore, before providing the
service, the facility needs to check the number
of units that service can be delivered within a
specific time to the member. If the number of
services exceeds the number allowed by the
insurance policy, the claim will be rejected. 
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Common Errors With DME Billing Services
How To Ensure There Are No Errors? It has been
estimated in medical billing and coding services,
out of the 3.2 billion that goes to waste in the
Medicare Trust Fund, 2.6 billion is due to
insufficient documentation. It is essential that
proper documentation with adequate medical
coding and correct information is provided so
that it does not lead to claims denial. One of
the best ways to ensure none of this happens is
by outsourcing DME billing services to an
efficient medical billing company such as 24/7
Medical Billing Services.  A team of specialized
medical billers and coders ensures that all
documentation, codes, and modifiers are correct
for the claims. Also, they ensure claims are
submitted within the time frame. Additionally, in
case of any denials, it is appropriately followed
up. Moreover, with the constant changing in the
CMS rules and regulations, So there is no claim
rejection, thus allowing you to have a seamless
cash flow and a flawless revenue management cycle
for your DME services. For more information
on outsourcing the medical billing service,
contact us today!
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Common Errors With DME Billing Services
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.
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Common Errors With DME Billing Services
Media Contact 24/7 Medical Billing
Services Georgia 3001 Greenfield Drive, Marietta
GA Ohio 28405 Osborn Road, Cleveland, OH
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Coastal Highway, Lewes, Delaware 19958, United
States Phone no / Fax [phone]
Email us info_at_247medicalbillin
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