DME is a vital tool to care for patients with COVID-19 as well as provide support to patients who are in-home care so their chronic conditions can be well-managed. We all are aware of COVID-19 is still disrupting the healthcare sector specifically when it comes to supply chains such as repeated shortages of a mask, personal protective equipment (PPE), etc.
Navigating The Primary Care First Model.pdfRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Navigating The Primary Care First Model.pptxRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Understanding Mental Health Telehealth Billing.pdfRichard Smith
In recent years, the healthcare landscape has witnessed a significant shift towards telehealth services, and the field of mental health is no exception. With the advent of mental health telehealth, it has become increasingly important for mental health providers to be well-informed about the intricate process of billing for such services.
Understanding Mental Health Telehealth Billing.pptxRichard Smith
In recent years, the healthcare landscape has witnessed a significant shift towards telehealth services, and the field of mental health is no exception. With the advent of mental health telehealth, it has become increasingly important for mental health providers to be well-informed about the intricate process of billing for such services.
Orthopedic Billing Compliance Checklist A Guide For Healthcare Providers.pdfRichard Smith
Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.
Orthopedic Billing Compliance Checklist A Guide For Healthcare Providers.pptxRichard Smith
Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.
The Importance Of Accurate Charge Entry In Medical Billing Avoiding Costly E...Richard Smith
Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry. Accurate charge entry involves meticulously recording the services provided to patients, along with their corresponding charges.
The Importance Of Accurate Charge Entry In Medical Billing Avoiding Costly E...Richard Smith
Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry.
Navigating The Primary Care First Model.pdfRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Navigating The Primary Care First Model.pptxRichard Smith
The healthcare landscape is undergoing a dynamic transformation, driven by a growing emphasis on value-based care and patient-centered outcomes. At the forefront of this shift is the Primary Care First Model, a voluntary alternative payment model introduced by the Centers for Medicare & Medicaid Services (CMS).
Understanding Mental Health Telehealth Billing.pdfRichard Smith
In recent years, the healthcare landscape has witnessed a significant shift towards telehealth services, and the field of mental health is no exception. With the advent of mental health telehealth, it has become increasingly important for mental health providers to be well-informed about the intricate process of billing for such services.
Understanding Mental Health Telehealth Billing.pptxRichard Smith
In recent years, the healthcare landscape has witnessed a significant shift towards telehealth services, and the field of mental health is no exception. With the advent of mental health telehealth, it has become increasingly important for mental health providers to be well-informed about the intricate process of billing for such services.
Orthopedic Billing Compliance Checklist A Guide For Healthcare Providers.pdfRichard Smith
Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.
Orthopedic Billing Compliance Checklist A Guide For Healthcare Providers.pptxRichard Smith
Orthopedic billing compliance is essential for healthcare providers to avoid costly audits and penalties. By following a comprehensive orthopedic billing compliance checklist, providers can ensure that their claims are accurate, complete, and supported by proper documentation.
The Importance Of Accurate Charge Entry In Medical Billing Avoiding Costly E...Richard Smith
Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry. Accurate charge entry involves meticulously recording the services provided to patients, along with their corresponding charges.
The Importance Of Accurate Charge Entry In Medical Billing Avoiding Costly E...Richard Smith
Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry.
Understanding Basics Of Internal Medicine Billing And Coding.pdfRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Understanding Basics Of Internal Medicine Billing And Coding.pptxRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Mental Health Billing And Credentialing Services For Solo Practitioners.pptxRichard Smith
Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
Mental Health Billing And Credentialing Services For Solo Practitioners.pdfRichard Smith
Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
Navigating The Complex World Of Family Practice Billing.pdfRichard Smith
Family practice billing is an essential component of healthcare administration, crucial for ensuring that medical providers are reimbursed accurately and timely for the services they render to their patients. This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.
Navigating The Complex World Of Family Practice Billing.pptxRichard Smith
Family practice billing is an essential component of healthcare administration, crucial for ensuring that medical providers are reimbursed accurately and timely for the services they render to their patients. This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.
Navigating The Complex World Of Emergency Medical Specialists Billing.pdfRichard Smith
Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations.
Navigating The Complex World Of Emergency Medical Specialists Billing.pptxRichard Smith
Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations.
Streamlining Medical Billing Services In North Carolina (MDS) Can Empower Hea...Richard Smith
Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care. This is where Medisys Data Solutions (MDS) steps in, offering comprehensive medical billing services in North Carolina tailored to the unique needs of healthcare providers in NC.
Coding For Pulmonary Function Tests.pptxRichard Smith
Need of Choosing Oncology Billing Company
As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. With so many billing companies to choose from, it can be challenging to identify the right fit for your practice’s unique needs.
Coding For Pulmonary Function Tests.pdfRichard Smith
Coding for pulmonary function tests (PFTs) is an important aspect of healthcare billing and reimbursement. These tests are used to evaluate lung function and can be useful in diagnosing and monitoring respiratory conditions such as asthma, COPD, and pulmonary fibrosis. There are several different types of PFTs, each with its own specific set of CPT codes that healthcare providers must use for billing purposes.
Coding For Pulmonary Function Tests.pptxRichard Smith
Coding for pulmonary function tests (PFTs) is an important aspect of healthcare billing and reimbursement. These tests are used to evaluate lung function and can be useful in diagnosing and monitoring respiratory conditions such as asthma, COPD, and pulmonary fibrosis. There are several different types of PFTs, each with its own specific set of CPT codes that healthcare providers must use for billing purposes.
Mastering Medical Billing In Kentucky Answers To Common Billing Questions.pdfRichard Smith
Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. That’s why we’re here to offer our comprehensive medical billing and coding services tailored specifically to meet the needs of healthcare providers in Kentucky.
Mastering Medical Billing In Kentucky Answers To Common Billing Questions.pptxRichard Smith
Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. That’s why we’re here to offer our comprehensive medical billing and coding services tailored specifically to meet the needs of healthcare providers in Kentucky.
Understand Basics Of Family Practice Medical Billing.pdfRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Understand Basics Of Family Practice Medical Billing.pptxRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
CPT Codes For Pulmonary Diagnostic Testing And Therapies.pdfRichard Smith
Pulmonary diagnostic testing and therapies play a crucial role in assessing and treating respiratory conditions. To standardize the reporting of these procedures, the Current Procedural Terminology (CPT) codes provide a structured system. In this article, we will explore some common CPT codes associated with pulmonary diagnostic testing and therapies, including bronchoscopy, thoracentesis, pulmonary function tests (PFTs), exercise stress testing, polysomnography/sleep studies, thoracoscopy, and lung biopsy.
CPT Codes For Pulmonary Diagnostic Testing And Therapies.pptxRichard Smith
Pulmonary diagnostic testing and therapies play a crucial role in assessing and treating respiratory conditions. To standardize the reporting of these procedures, the Current Procedural Terminology (CPT) codes provide a structured system. In this article, we will explore some common CPT codes associated with pulmonary diagnostic testing and therapies, including bronchoscopy, thoracentesis, pulmonary function tests (PFTs), exercise stress testing, polysomnography/sleep studies, thoracoscopy, and lung biopsy.
Understanding Basics Of Internal Medicine Billing And Coding.pdfRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Understanding Basics Of Internal Medicine Billing And Coding.pptxRichard Smith
Medical billing and coding are critical components of the healthcare industry, ensuring that healthcare providers are reimbursed for their services accurately and efficiently. For those specializing in internal medicine, understanding the basics of internal medicine billing is essential.
Mental Health Billing And Credentialing Services For Solo Practitioners.pptxRichard Smith
Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
Mental Health Billing And Credentialing Services For Solo Practitioners.pdfRichard Smith
Solo mental health practitioners play a vital role in the healthcare system, providing essential services to those in need of mental and emotional support. However, managing the administrative aspects of their practice, including mental health billing and credentialing, can be a significant challenge.
Navigating The Complex World Of Family Practice Billing.pdfRichard Smith
Family practice billing is an essential component of healthcare administration, crucial for ensuring that medical providers are reimbursed accurately and timely for the services they render to their patients. This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.
Navigating The Complex World Of Family Practice Billing.pptxRichard Smith
Family practice billing is an essential component of healthcare administration, crucial for ensuring that medical providers are reimbursed accurately and timely for the services they render to their patients. This article provides an in-depth overview of family practice billing, exploring into its significance, common challenges, strategies for effective billing, and the benefits of outsourcing this crucial aspect of healthcare management.
Navigating The Complex World Of Emergency Medical Specialists Billing.pdfRichard Smith
Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations.
Navigating The Complex World Of Emergency Medical Specialists Billing.pptxRichard Smith
Emergency medical billing is a critical component of healthcare services, playing a pivotal role in ensuring that healthcare providers are adequately compensated for their life-saving efforts. However, it’s a complex process that demands a deep understanding of various factors, including different types of services, coding guidelines, insurance reimbursement procedures, and evolving regulations.
Streamlining Medical Billing Services In North Carolina (MDS) Can Empower Hea...Richard Smith
Efficient medical billing and coding are crucial for healthcare providers in North Carolina (NC) to ensure timely reimbursements and maintain a sustainable revenue stream. However, navigating the complexities of medical billing can be a daunting task, diverting valuable time and resources away from patient care. This is where Medisys Data Solutions (MDS) steps in, offering comprehensive medical billing services in North Carolina tailored to the unique needs of healthcare providers in NC.
Coding For Pulmonary Function Tests.pptxRichard Smith
Need of Choosing Oncology Billing Company
As an oncology practice, selecting the right billing company is a crucial decision that can significantly impact your financial success and regulatory compliance. With so many billing companies to choose from, it can be challenging to identify the right fit for your practice’s unique needs.
Coding For Pulmonary Function Tests.pdfRichard Smith
Coding for pulmonary function tests (PFTs) is an important aspect of healthcare billing and reimbursement. These tests are used to evaluate lung function and can be useful in diagnosing and monitoring respiratory conditions such as asthma, COPD, and pulmonary fibrosis. There are several different types of PFTs, each with its own specific set of CPT codes that healthcare providers must use for billing purposes.
Coding For Pulmonary Function Tests.pptxRichard Smith
Coding for pulmonary function tests (PFTs) is an important aspect of healthcare billing and reimbursement. These tests are used to evaluate lung function and can be useful in diagnosing and monitoring respiratory conditions such as asthma, COPD, and pulmonary fibrosis. There are several different types of PFTs, each with its own specific set of CPT codes that healthcare providers must use for billing purposes.
Mastering Medical Billing In Kentucky Answers To Common Billing Questions.pdfRichard Smith
Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. That’s why we’re here to offer our comprehensive medical billing and coding services tailored specifically to meet the needs of healthcare providers in Kentucky.
Mastering Medical Billing In Kentucky Answers To Common Billing Questions.pptxRichard Smith
Medisys Data Solutions (MDS) understand the challenges that healthcare professionals face when it comes to medical billing and coding in Kentucky. The complex landscape of billing regulations, ever-evolving guidelines, and the need for compliance can be overwhelming. That’s why we’re here to offer our comprehensive medical billing and coding services tailored specifically to meet the needs of healthcare providers in Kentucky.
Understand Basics Of Family Practice Medical Billing.pdfRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Understand Basics Of Family Practice Medical Billing.pptxRichard Smith
Family practice medical billing is an essential aspect of the healthcare industry. Accurate and timely billing ensures that healthcare providers receive payment for the services they provide to patients. This, in turn, enables healthcare providers to maintain their operations, invest in new technologies, and provide the best possible care to their patients.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
Coding Guidelines For Evaluation And Management Services In Internal Medicine...Richard Smith
Evaluation and management (E/M) services play a crucial role in the practice of internists, and accurate coding for these visits is essential for the financial well-being of medical practice. However, determining the appropriate level of billing for an E/M code can be challenging for many physicians.
CPT Codes For Pulmonary Diagnostic Testing And Therapies.pdfRichard Smith
Pulmonary diagnostic testing and therapies play a crucial role in assessing and treating respiratory conditions. To standardize the reporting of these procedures, the Current Procedural Terminology (CPT) codes provide a structured system. In this article, we will explore some common CPT codes associated with pulmonary diagnostic testing and therapies, including bronchoscopy, thoracentesis, pulmonary function tests (PFTs), exercise stress testing, polysomnography/sleep studies, thoracoscopy, and lung biopsy.
CPT Codes For Pulmonary Diagnostic Testing And Therapies.pptxRichard Smith
Pulmonary diagnostic testing and therapies play a crucial role in assessing and treating respiratory conditions. To standardize the reporting of these procedures, the Current Procedural Terminology (CPT) codes provide a structured system. In this article, we will explore some common CPT codes associated with pulmonary diagnostic testing and therapies, including bronchoscopy, thoracentesis, pulmonary function tests (PFTs), exercise stress testing, polysomnography/sleep studies, thoracoscopy, and lung biopsy.
CPT Codes For Pulmonary Diagnostic Testing And Therapies.pptx
The Impact Of COVID-19 On The Durable Medical Equipment Market.pdf
1. The Impact Of COVID-19 On The Durable Medical
Equipment Market
2. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
The Impact Of COVID-19 On The Durable Medical Equipment Market
DME is a vital tool to care for patients with COVID-19 as well as provide support to patients who are in-home care so
their chronic conditions can be well-managed. We all are aware of COVID-19 is still disrupting the healthcare sector
specifically when it comes to supply chains such as repeated shortages of a mask, personal protective equipment (PPE),
etc.
Moreover, these challenges also extend to durable medical equipment (DME) and supplies required by often at-risk
patients in their homes to manage chronic conditions and other medical issues. Manufacturers and distributors have
levied surcharges and passed along increases in their costs in response to the COVID-19 pandemic. Also, Suppliers are
incurring additional operating expenses, for instance, utilizing personal protective equipment (PPE), providing IT
equipment for staff to work remotely, or obtaining additional vehicles to make DMEPOS deliveries to keep their
employees safe.
In these uncertain times of pandemic, suppliers are being financially harmed. They are unable to plan either their costs
or the level and stability of revenue streams associated with delivering a product to patients. Overall, the covid-19 has
impacted the DME market in both the short term and long term.
3. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
The Impact Of COVID-19 On The Durable Medical Equipment Market
Short term and long term risk
In short term, we have seen supply chain disruptions cause shortages and delays of DME which could logically mean
poorer population health, including increases in emergency department (ED) visits and hospitalizations due to chronic
condition exacerbations.
The patients will face a costly medical crisis if it lags to get critical DME. Moreover, In the case of patient’s home care
their care teams also need access to PPE, which remains in short supply in many areas of the country.
Most of the time, physicians who write a DME prescription for a patient are not aware that a supply chain shortage
exists due to unanticipated DME shortages, payers and providers need to work together to ensure patients have ready
access to much-needed home medical equipment. Hence, payers and providers need to work together to ensure
patients have ready access to much-needed home medical equipment.
To counter the adverse effect of the pandemic, CMS has come with temporary regulatory waivers and rule changes, let’s
see what are they?
4. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
The Impact Of COVID-19 On The Durable Medical Equipment Market
Response from CMS to Covid-19 pandemic
With temporary regulatory waivers and rule changes, CMS is attempting to equip the healthcare system with the
flexibility to respond to the 2019 Novel Coronavirus (COVID19) pandemic. For, instance, when DMEPOS is lost,
destroyed, irreparably damaged, or otherwise rendered unusable, DME Medicare Administrative Contractors now have
the flexibility to waive replacement requirements under Medicare. CMS is also waiving prior authorization and
accreditation requirements for DME suppliers. Now, let’s look at the latest CMS waiver published in (Nov-Dec 2020).
Temporary waived to certain requirements for DME
Certain requirements for Durable Medical Equipment (DME), as well as prosthetics, orthotics, and supplies, are waived
temporarily which are demonstrated below:
• The waiver for Commercial members is effective March 6, 2020, through March 31, 2021. The waiver is subject to re-
evaluation for the duration of the public health emergency.
• The waiver for Medicare Advantage members is effective March 6, 2020, through the duration of the public health
emergency.
5. Call us at: 302-261-9187
Email us at: richard.smith@medisysdata.com
The Impact Of COVID-19 On The Durable Medical Equipment Market
Requirements from Professional providers and suppliers
Professional providers and suppliers must still:
• Provide a standard written order (SWO) for all items
• Document and communicate to the DME supplier that the professional provider has had a face-to-face encounter
(i.e., an in-person or telehealth encounter between a treating professional provider and an individual) with the
member within the six months preceding the date of the written order/prescription for Power Mobility Devices
(PMDs);
• Ensure that the items or services are reasonable and necessary;
• Continue documenting the medical necessity for all services. Accordingly, the medical record must be sufficient to
support payment for the services billed (that is, the services were provided, were provided at the level billed, and
were medically necessary)
The COVID-19 pandemic has proved the gaps in an existing supply chain that have downstream quality and economic
effects far broader than PPE and ventilators alone. Hence healthcare providers and health plan partners need to
implement successful supply chain quality improvement initiatives to benefits all the stakeholders.
We have a team of experts in DME billing and coding. We can help you to improve your cash flow; eliminate process
loopholes that make you lose money.
6. Address
8 The Green STE A, Dover,
Delaware 19901. USA.
Phone Number
302-261-9187
E-mail Address
info@medisysdata.com
THANK YOU
If you have any questions or queries about medical billing services, our member of staff
will always be happy to help. Feel free to contact us.