The Advantages of Contracting Out DME Billing to Boost Income
One of the hardest things about operating a durable medical equipment (DME) provider’s company is getting Medicare and private insurance carriers to compensate you, as any DME provider will tell you. DME providers put in a lot of time and labor, but they don’t always receive full compensation for their work. Ignorant DME billing can result in decreased revenues and, in the worst situation, force DMEs to close their doors if they are not addressed. It may be wise and effective to outsource your DME billing services to reputable medical billing firms like Medical Billers and Coders (MBC) in order to receive optimum reimbursements and a host of additional advantages. Here are a few advantages of outsourcing DME billing services.
The Advantages of Contracting Out DME Billing to Boost Income
DME billing presents a distinct set of difficulties. It involves working with several parties and necessitates knowledge of Level II HCPCS (Healthcare Common Procedure Common System) codes. The biller is in charge of making sure that each piece of equipment is appropriately classified, as each type of DME has an own HCPCS Level II code. For instance, the biller must separately code the machine, mask, and tubing utilized with a continuous positive airway pressure (CPAP) machine when submitting a claim.
Because they are familiar with the nuances of the DME billing and coding process, medical billing companies that specialize in this area are less likely to make billing and coding mistakes that could lead to reimbursements being rejected or being delayed. The billing firm will gather all required paperwork, such as the patient’s insurance and billing records, Medicare or insurance carrier pre-authorization, and the patient’s doctor’s certificate of medical necessity, and verify its accuracy, compliance, and medical necessity. If the claim is rejected, they will evaluate the reasons why it was rejected, take appropriate action, and, if feasible, submit the claim again.
A Rise in Income
As was previously discussed, fewer billing errors will guarantee more money for your company. You may increase your cash flow and manage your finances more effectively if you have a professional DME billing expert monitoring your accounts receivable and collections and sending you frequent information on your DME’s financial performance. Since the billing company handles all aspects of medical billing, you can concentrate on expanding your clientele and giving your patients the best care possible.
Lower Overhead Expenses
It might be challenging to find and keep a committed medical billing specialist. To ensure that internal billing specialists stay up to date on all billing updates for different insurance providers, you must make an investment in training. However, your billing operations come to an abrupt end when one of these billing experts departs from your company. You’ve wasted time, and many claims may be filed incorrectly, until a new billing specialist joins your team and becomes familiar with your billing specifications. Insurance reimbursements will eventually be lost or delayed as a result of this. You can work with a group of experts who are up to date on the newest medical billing procedures, tools, and regulations by hiring a medical billing business.
Data security and compliance
The majority of DME service providers are reluctant to outsource their billing because they are concerned about patient data security and billing compliance with several insurance companies. DME billing professionals maintain current knowledge of laws governing the healthcare sector, including the Health Insurance Portability and Accountability Act (HIPAA). Medical billing firms also employ secure medical billing procedures and technology, enabling them to protect patient and company data while it’s in transit and at rest. Since Social Security numbers, birth dates, and other private information can be exploited to commit identity theft and other fraudulent actions, it is extremely crucial to keep patient records safe.
Increased Contentment with Patients
Professionals handling outsourced DME billing are knowledgeable about every facet and nuance of the billing procedure. Your patients can give you a call to talk about other parts of claiming for DME billing as well as their medical billing process. As a result, they are more equipped to resolve complaints and address patients’ worries over billing statements. Patients will be more satisfied and confident in your services since they will have the information they require when they need it. DME billing outsourcing helps you maintain a long-term relationship with your patients by giving you enough time to engage with them and learning more about their concerns.
With all of the benefits mentioned above, you can be very sure that outsourcing DME billing services will help your DME business’s financial situation. A reputable medical billing business such as Medical Billers and Coders (MBC), which has been offering DME billing services for a while, is what you need. Our billing specialists will guarantee that every DME billing procedure is carried out according to schedule. You won’t need to review every claim because our personalized reports will assist you in comprehending a range of medical billing topics, including the quantity of claims filed, insurance payouts, patient accountability, and much more.