7 Most Common DME Billing Challenges
                     7 Most Common DME Billing Challenges
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7 Most Common DME Billing Challenges
With the aging population and sleeping disorders such as sleep apnoea 
rising, the Durable Medical Equipment (DME) industry is experiencing a 
demand for equipment like never before. Now-a-days, pollution is also 
impacting many lives making them suffer from respiratory illnesses, 
demanding the equipment to support their breathing. In addition, lifestyle 
changes lead to more gastrointestinal dysfunction, hence the need for 
feeding tube equipment. 
All these will eventually lead to more people looking for healthcare 
equipment at home to improve their quality of life. Not only the growth in 
the market for DMEs will rise further, but it is also making the DME billing 
process more complex than ever. The reimbursement is becoming a 
challenge, taking a heavy toll on the service providers. 
While many DME services are already facing billing challenges, some 
anticipate it. But to mitigate the problem, one needs to be aware of the 
common DME billing challenges. Here are the seven most common 
challenges.
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7 Most Common DME Billing Challenges
1. Coding Errors 
There is a lack in the coding process in the Healthcare Common 
Procedure Coding System because it is not streamlined. This often 
results in healthcare providers failing to get reimbursement for the 
services rendered. Usually, the error involves using the correct 
modifiers, checking the payer and coding reports, and unclear narration 
causes repayment challenges in the DME billing and coding. 
The top five DME coding errors are:
Incorrect usage of the HCPCS codes 
In the trauma and fracture diagnosis, the failure to use the seventh 
character accurately 
Misidentification of respiratory failure 
Failure to note the proper components, devices, grafting materials, etc. 
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7 Most Common DME Billing Challenges
2. Faulty Document Management 
Every DME business is required to manage and compile innumerable 
documents every day. It hence needs an efficient document 
management system in place, storing it and retrieval process for critical 
business information. 
Unfortunately, the lack of proper software for digital document 
management often results in claim dismissals due to poor or incorrect 
documentation, business data loss, and, eventually, loss of revenue3. 
3.Regulatory Challenges
Like any other medical billing service, DME billings undergo frequent 
regulation changes. As a result, DME services often fail to stay on top of 
these latest changes and adhere to the new regulations and rules. This 
eventually affects the DME billing and reimbursement for the services. It 
is important to note that DMEs have a more complex and rigorous 
regulatory system in place, which often leads the service providers to be 
in a difficult situation with Medicaid and Medicare Services. 
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7 Most Common DME Billing Challenges
4. Denials due to AR Management 
One of the billing challenges that often cause the DME services to fail is 
the sloppy AR management. 
5. Failure to Adhere to Payer Guidelines 
One of the significant challenges in billing that the DMEs faces are cross 
payers denying the claims 
6. Trailing Billings 
Many times, DME providers face the billing on time challenge, thus 
restricting the cash flows. As a result, many try to use shortcuts to catch 
up with the shortfalls. But in the long run, it leads to more complexities 
instead of increasing the revenue. With denials piling up and the 
management failing to follow up, the burden of the collection rate 
increases aggressively.
7. Untrained Staff 
Most DMEs are overburdened with work, and the failure to train and 
educate the staff on the new guidelines and the DME compliance 
policies that are in effect results in incorrect billing and coding. 
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7 Most Common DME Billing Challenges
How to Overcome the DME Billing Challenges?
One of the best ways to overcome the DME billing challenges is 
outsourcing the DME billing services and RCM system. But it 
would be a grave mistake to outsource it to anyone24/7 Medical 
Billing Services is one such third-party DME billing company that 
offers the best DME billing services with a team of experts 
efficient in management. A partner like us provides an integrated 
technology platform that helps you drive the business better with 
improved ROI. 
The services offered by 24/7 Medical Billing Services in DME 
billing elevate the patient’s experience and optimize the cost of 
the facility with the proactive risk mitigation plans in place. Our 
DME billing experts are always on top of their game with the 
latest knowledge of the CMS rules and regulation changes and 
policies and practices that any DME services need to comply 
with to stay in business. 
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7 Most Common DME Billing Challenges
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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7 Most Common DME Billing Challenges
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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