3 Successful Ways to Establish an Effective DME Management Process
                     3 Successful Ways to Establish an 
Effective DME Management Process
Durable Medical Equipment billing is complex as it requires a detailed 
understanding of how to code claims, what to bill for, and when to submit 
claims. Recently, there have been several cases of incorrect DME 
billing, either due to a lack of knowledge or a fraudulent attempt to make 
money. DME billing fraud comes in a variety of shades and colors.
Billing for items that were not ordered or received is a common type of 
fraud. The discrepancy is revealed in the paperwork known as the 
Explanation of Benefits (EOB) or Medicare Summary Notice (MSN). 
Sometimes fraud occurs when a patient receives equipment not 
prescribed by the doctor.
Other types of fraud include receiving a phone call from someone 
unrelated to the physician's office requesting Medicare information, 
billing for duplicate orders, higher-than-normal rental charges for 
equipment, etc. Insurance companies detect fudged billing with great 
expertise, regardless of how it is committed. However, they can result in 
heavy fines. That’s why it is essential to look for successful ways to deal 
with it at the earliest, along with the exact submission process. 
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3 Successful Ways to Establish an 
Effective DME Management Process
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3 Successful Ways to Establish an 
Effective DME Management Process
 DME Claims Submission Procedure
 DME Billing Guidelines
 Ways to Streamline DME Billing 
•            Ensure proper documentation
•            Adequate Prior-Authorization Procedure
•            A Robust Accounts Receivable Process
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 2. Medicare and the SNF Condition
Even when you have all the proper paperwork, you need to know the 
Skilled Nursing Facility (SNF). Medicare will refuse to reimburse for any 
ASC services conducted within the SNF. The patient will not get any 
reimbursement for treatment in such a case, so be aware of the SNFs in 
the area before you take the patient in. 
3. Getting Appropriate Authorization & 
Verification
Before conducting a procedure, you need to understand the coverage a 
patient receives and determine the party's responsibility. Part of it also 
includes verifying the edibility of the claim and the address of the claim. 
Failure to get the verification and the appropriate authorization often 
results in reimbursement delays. Hence, all the paperwork must be done 
before undertaking the correct procedures and ensuring whether costly 
implants are covered. 
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Outsource your DME Billing
Outsourcing is the most effective way to improve your DME billing 
processes while decreasing collecti on time. Here are a few examples of 
how working with 24/7 Medical Billing Services can help your company:
Understands the healthcare system in the United States
Reduces your DSO (day sales outstanding)
Lowers your overall operating costs
Increases the size of your billing department without the hassle of hiring 
new employees
Finds ways to increase claim and patient collection rates
Continuous education on industry regulations is provided
Are you ready to improve your DME billing processes and collection 
rates while saving time and money? Then contact 24/7 Medical Billing 
Services to find out how we can help you get the most money out of 
each claim!
HTTPS://WWW.247MEDICALBILLINGSERVICES.COM/
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.
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Contact Us
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: [email protected]
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