One of the primary reasons it is often under investigation is that DME billing Services appear to be anything but straightforward.

1. Common Errors With DME Billing
Services
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2. Common Errors With DME Billing
Services
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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…

3. Common Errors With DME Billing
Services
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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.

4. Common Errors With DME Billing
Services
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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 it’s
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.

5. Common Errors With DME Billing
Services
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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!

6. Common Errors With DME Billing
Services
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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. Common Errors With DME Billing
Services
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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@247medicalbillingservices.com