Uploaded on Sep 20, 2021
DME medical billing codes play a crucial role in filing the claims. With the right use of the right DME codes, you can assure of enjoying the higher rate of claims approvals. But if you don’t have clear-cut knowledge about the DME medical billing codes, you might face many claim denials. That’s why a lot of importance is given to the billing codes, as they help the insurer identify and measure the extent of the billing required for the procedures or DME equipment.
How To Use Modifier RR To Enhance Collections
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How To Use Modifier RR To Enhance Collections?
DME medical billing codes play a crucial role in filing the claims. With the right use
of the right DME codes, you can assure of enjoying the higher rate of claims
approvals.
But if you don’t have clear-cut knowledge about the DME medical billing codes, you
might face many claim denials. That’s why a lot of importance is given to the billing
codes, as they help the insurer identify and measure the extent of the billing
required for the procedures or DME equipment.
Therefore, the Healthcare Common Procedure Coding System (HCPCS) is the
standard set of medical codes used by the medical institutions as per the American
Medical Association’s Current Procedural Terminology (CPT).
Out of the numerous commonly used codes, RR is a modifier used to identify the
specific Durable Medical Equipment.
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what does RR stands for?
Durable Medical Equipment (DME) can be classified in the following ways:
RR – Rental
NU – New equipment purchase
UE – Used equipment purchase
Additional Modifiers used with RR modifier to indicate the rental
period are as follows:
KH- also known as the initial claim, used to indicate the first-month rental
KI- used for identifying the second and third capped rental months
KJ- used for determining the capped rental months of 4th to 13th
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How to Calculate the RR Rental for DME?
• For the First Three Months – The rental fee is restricted to 15% of the average
purchase price that is allowed for a piece of new equipment during the base
period. This value takes into account inflation.
• For the Rest of the Months (4-13) – The monthly rental is computed at 6% of the
average purchase price allowed for the equipment.
• The DME medical billers can calculate the RR rentals for the patients with the
help of billing software. Also, various online websites have monthly rental
calculators to help billers calculate the RR rentals easily.
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Things to Remember for DME Rentals
• Modifications in the Equipment – If a patient modifies the equipment, there is a
possibility for entering a new 13 month rental for the additional equipment.
This is generally decided based on the modification extent.
• If the modification is minor, then the 13-month rental will continue for the
primary equipment without any new rentals for the modification. But if there is
a major change in the equipment that involves a high cost, then a new 13-
month rental for new equipment will be added to the existing 13-month rental
for the existing equipment.
• Change of Suppliers – If the patient chooses to change the equipment suppliers
for the rented equipment, a new 13-month rental will also begin for the rented
equipment from the new supplier.
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Conclusion
Undoubtedly, the RR Modifier is of utmost importance for the claim forms and submission of the
claims. Often, many denied claims end up identifying the issues related to the documentation or
the modifier RR accuracy in the claim forms.
As a claim submission largely depends on the thoroughness and accuracy of the biller, Info Hub
trains their DME medical billers to go through every minute detail of the claim form and other
billing details before forwarding them to the clearinghouse.
Our experienced DME medical billing professionals are experts in their work, thereby reducing the
claim rejections for enhancing revenue.
Email Us : [email protected] Call Us: (US) +1 302-703-1232 Call Us: (IN) +91 (888) 694-8634
Info
Hub
About us
Info Hub Services was founded in 2010, and is now one of the leading service providers of highly
motivated, certified coders, and billers in the US medical billing industry.
Contact Us:
India Address:
Info Hub,
Sf No 558/2, Udayampalyam Rd, Nava India,
Coimbatore, Tamil Nadu 641028
US Address:
Info Hub,
1280, Patterson Ter,
Lake Mary.
Florida 32747
Email Us : [email protected] Call Us: (US) +1 302-703-1232 Call Us: (IN) +91 (888) 694-8634
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