7 Signs Your Ambulatory Surgery Center Needs an EHR Upgrade

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7 Signs Your Ambulatory Surgery Center Needs an EHR Upgrade An electronic health record (EHR) system should help an ambulatory surgery center (ASC) manage patient information, coordinate surgical workflows, support documentation, and maintain accurate billing records. But as a center grows, its existing system may struggle to keep up. A system that once worked well may now create extra administrative work, slow down patient scheduling, limit access to important information, or make it harder to capture all billable services. These problems can affect more than daily operations. They can also influence revenue cycle performance, reporting accuracy, and the patient experience. Upgrading an EHR is a significant decision. However, continuing to use a system that no longer meets the center's needs can create ongoing operational and financial challenges. Here are seven signs that your ambulatory surgery center may need an EHR upgrade. 1. Your Staff Still Relies on Manual Data Entry One o...
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Challenges and Opportunities of Durable Medical Equipment Practice (DME)

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The necessity of Durable Medical Equipments (DMEs) had never been so high – in the U.S. 30% to 54% of those over 65 years have some form of disability; around 75% to 90% of such disabled require some form of DME to keep them mobile or enabled.  It is also estimated that around 1.5 million people are currently in need of wheelchairs and braces. And, when you add the population that is likely to be in need of other forms of durable medical equipment – prosthetics, orthotics, and supplies (DMEPOS) – it will be some opportunity for people involved in Durable Medical Equipment Practice Services: physicians, pharmacies, and manufacturers/suppliers. But, because DME services are physician-recommended, we are more interested in how physicians themselves can recommend, source, and administer DMEs.

While physicians can benefit immensely from an integrated DME management, there are challenges on the way – being equipped with a Medicare-enrolled and recognized pharmacy, sourcing supplies from bidders authorized by CMS, and showing up as participating suppliers, who accept Medicare-approved fees on DMEs.

Physicians who are willing to have pharmacies attached with Medicare Part B approval need to have full-fledged Medicare Part B recognized DME supplies.  The importance of having Medicare-approved DMEs at your pharmacy is that it enables patients to have access to DMEs that are fully covered and reimbursed from Medicare Part B.

DMEs cannot be freely traded at your pharmacy; you need to apply for authorization from CMS. First, you need to apply by filling up Form CMS-855S for all likely suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Applications are verified by National Supplier Clearinghouse (NSC) before being certified for compliance with DMEPOS Supplier Standards, as set forth in 42 CFR 424.57

Browse All: DME Medical Billing

Physicians in DME services are expected to be responsible – being responsible means agreeing to accept Medicare-approved amounts as full payment. Physicians that accept this clause will stand to collect only 20% of the approved amount after the patient has paid the part B deductible. Though not mandatory, being a partner in sharing monetary responsibility may have disguised benefits, such as goodwill and patient-initiated referrals.

To learn more about The Challenges and Opportunities of Durable Medical Equipment Practice (DME), click here: https://bit.ly/3WnOlwE Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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