3 Best Practices to Recover Revenue in Account Receivables

3 Most Common DME Billing Challenges  DME billing is complex, and Info Hub, a leading offshore DME billing company in India comes with the required expertise to help increase your revenue.  Efficiency is the key to success in any healthcare setting! Your ability to innovate and improve patient experience while lowering costs and minimizing mistakes is critical to your success.  To fulfil these objectives, it is critical to have a well-functioning medical billing system in place. With our DME billing services, we leverage our experience, expertise, and latest technology to ensure complete accuracy and competence.

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inquiry@infohubservices.com

https://infohubservices.com/

Call us +91 829-746-441

Policy Violations  When invoicing or payment for services is not in accordance with the written policy, it is considered a policy violation.  DME claims sent to Medicaid rather than Medicare or another primary insurance plan.  Medicaid is considered the payer of last resort, so payment should be sought from other insurance first.

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Coding Errors Errors in code are another major cause. The claim will be refused if your billing team submits medical documentation with different codes than the ones billed.

Typical coding related challenges are – 1. Using HCPCS codes incorrectly to drive a diagnostic related group (DRG) For trauma and fracture diagnosis codes, the seventh character is incorrectly applied.

2.

Respiratory failure is misdiagnosed.

3. Using guidance tools incorrectly Inadequate documentation of devices, components, grafting materials, etc

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Insufficient Documentation When a provider’s documentation does not fully support the billed procedure code, it comes under the insufficient documentation error. Common DME claim documentation errors include: Medical Necessity – It is critical that the evidence demonstrates the treatments billed were medically necessary under Medicare’s coverage and payment policies.

Use of Modifiers – Incorrectly employed modifiers for DME billing can result in claims being denied or rejected. Even a misplaced code can result in a claim denial.

Verification of Patient Data – A common factor is a lack of patient data verification. Claims are denied by the CMS or the insurance provider if there are minor errors in names, or the way forms are filled out.

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Ways to Reduce DME Billing Errors To fix the majority of the faults discovered, there are certain potential practices that can be adopted into everyday billing.

Quality control on services  Verify the equipment or supplies provided are in accordance with documented policy.  Verify the delivery of equipment or supplies is in line with beneficiary or representative signature.  Verify that the completion of environmental modification is completed with beneficiary or representative signature.

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Quality control on beneficiary records

 Confirm if beneficiary has other insurance as a major payer.  Determine a beneficiary identifier on each document.  Double-check the documentation accurately so it reflects the type of DME and quantity delivered.  Check the quantity of units billed as part of the claims processing quality control.  Confirm the procedure or service code is correct, along with the service dates entered on the documentation.  Ensure the claim’s number of units and product description match the documentation’s number of units and product description.

About Us Though there are several common benefits offered by offshore medical billing companies, but choosing the right medical billing partner plays a vital role. Info Hub is one of the leading offshore medical billing companies in Coimbatore, India, with sophisticated infrastructure and skilled manpower that is highly experienced in multiple aspects of medical billing and coding, to support healthcare practices grow heights and develop consistency in generating revenue.

If you are looking to outsource your medical billing and coding services to a reliable outsourcing partner, Info Hub is your ideal choice. With more than a decade experience in providing excellent medical billing and coding services, Info Hub has earned high client value by building trust with its topnotch services. For a quick appointment, make a call to +1-888-694-8634 / +91-0422-4212455. inquiry@infohubservices.com

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Contact Us

Info Hub, Sf No 558/2, Udayampalyam Rd, Nava India, Coimbatore, Tamil Nadu 641028 Call Us: +91 829-745-6441 Email Us At: inquiry@infohubservices.com inquiry@infohubservices.com

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