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Top 5 Coding Errors for DME Billing.pdf
1. Top 5 Coding Errors for DME Billing
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DME or Durable Medical Equipment is undergoing exponential growth
with rising numbers in the aging population and increasing patients
suffering from respiratory illnesses and sleep apnea. As such
population grows along with the rise in pollution and unhealthy
lifestyle; it is evident that the numbers in demand for DME will soar.
Along with this growth, the changes in DME billing continue, and it is
one of the few billing systems that is quite complex. However, DME
billing is far from being straightforward when added to the healthcare
providers so that the practice revenues can increase.
In such a scenario with complex DME billing, it is quite predictable that
as a physician you might lose billions or millions of dollars as revenue
due to erroneous billing.
Read more..
2. Top 5 Coding Errors for DME Billing
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3. Top 5 Coding Errors for DME Billing
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Here are the top five errors in DME coding:
A diagnostic-related group or DRG that drives the HCPCS codes to
be misused.
The inaccurate application filled for the fracture and trauma diagnosis
codes with the seventh character.
Misidentification of respiratory failure with using the wrong code.
Failure to identify and use the correct codes for the guidance tools.
Insufficient details with the documentation of components, devices,
grafting materials, etc.
4. Top 5 Coding Errors for DME Billing
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Other DME Billing Errors
In addition to the above coding errors, there are few other DME billing
mistakes that can often prove quite costly for your practice. Some of
these errors which DME billing usually faces and can be easily mitigated
are:
Patient Data Verification
Often, small mistakes such as the error in the name of the patient
provided by the CMS or insurance provider can lead to claims denial.
Hence, it is of utmost importance that the patient’s details are verified
and cross-checked not only before providing the service but also before
submitting the claim.
5. Top 5 Coding Errors for DME Billing
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Correct Modifiers
A misaligned code and the failure to use the correct modifiers when
claiming the bill in DME can lead to rejection of the payment and denial
of it. Hence, a biller should ensure that the correct modifiers are used for
the services offered.
Showcasing Necessity
When the service provided fails to showcase the medical necessity in
the documentation set by the Medicare coverage and other insurance
providers, the payment is bound to get rejected.
Insufficient Documentation
The insufficient documentation includes the failure to price the services
provided.
6. Top 5 Coding Errors for DME Billing
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How to get Error Free DME Billing?
One of the most viable options to ensure error-free DME billing is
investing time and money in training your staff with the latest DME rules
and regulations and updating the system with the latest RCM tools.
However, it can still be a faulty method at times.
So the other best way out is to Outsource DME billing to a competent
and knowledgeable medical billing company such as 24/7 Medical Billing
Services. They have been helping DME practices with improved RCM
from decades with their end-to-end medical billing and coding solutions.
You can also be assured that there won’t be any coding errors in your
DME billing with 24/7 Medical Billing Services.
7. Top 5 Coding Errors for DME Billing
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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.
8. Top 5 Coding Errors for DME Billing
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
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