Patient Eligibility Status – pVerify

How to reduce denials in DME billing?

Durable Medical Equipment • A Durable Medical Equipment (DME) provides therapeutic benefits to patients suffering from certain medical conditions and illnesses. • A DME is built to serve a medical purpose with the ability to withstand regular use, appropriate for using it in the home.

DME Items • • • • • •

Orthotics Wheelchairs Slings Crutches Cranes Compression sleeves

What is rejection in DME? • Rejection and denials in DME billing effects reimbursement and cash-flows disrupting the Revenue Cycle Management process.

• The reason of rejection would be invalid information, wrong code etc. Here are few more points.

Reason of denial of DME • Inappropriate knowledge of information.

• Wrong contract number.

• Submitter has not approved for electronic claim submission on behalf of entity.

• Wrong code updated.

• Inappropriate date of service.

Steps to resolve rejections • Proper verification and eligibility of Patient.

• Coding and modifiers.

• Appropriate documentation on file.

• proper analyze and audit the internal processes and workflows.

Thank you!

For more information Contact https://pverify.io/