Why Is Your Internal Medicine AR Growing Even Though Patient Volume Is Stable?

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Many internal medicine practices assume that stable patient volume should naturally lead to steady cash flow. However, in 2026, many providers are discovering the opposite. Even though appointment schedules remain full, Accounts Receivable (AR) continues to grow, payments take longer to arrive, and outstanding balances keep increasing. The problem usually isn't the number of patients being seen—it's what happens after the visit. Delayed claim submissions, coding errors, payer denials, Medicare Advantage complexities, and inefficient follow-up can all contribute to rising AR. Over time, these issues create cash flow challenges that affect staffing, operations, and long-term profitability. This is why more providers are investing in specialized Internal Medicine Billing Services , comprehensive medical billing services , advanced RCM services , and proactive Revenue Integrity programs to reduce AR and improve collections. Why Stable Patient Volume Doesn't Always Mean Stable...

ICD-10 and DME Billing- Does Outsourcing Spell More Revenue?

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ICD-10 and DME Billing

DME billing is the process of submitting and receiving payment for a claim from the insurance company. Implementing, maintaining, and educating staff on proper billing is vital to a DME provider’s success. The challenges facing Durable Medical Equipment (DME) organizations with the upcoming ICD-10 coding system are plenty. Although the DME you bill for will still employ the same HCPCS codes, the actual difference will be in the diagnosis coding itself.

  • Firstly, the transition from ICD-9 to the new ICD-10 coding system has led to an increase in the number of codes for procedures from 3,824 to 71,924 and simultaneously has also increased the number of codes for diagnosis from 14,025 to 69,823.
  • Secondly, there are few one-to-one, cross-walked codes in the ICD-10
  • Thirdly, it is a known fact that the DME providers receive meager information from the physician to convert the codes accurately thus leading to delays in claims causing a shortage in cash flow.
  • Fourthly, reimbursement of DME incidents needs to establish the necessity of a DME device within a treatment episode and the knowledge of the device that covers it. More accurate identification of the treatment episode that makes the use of the device eligible for reimbursement is now more than ever required

Fifthly, software updates are required, and the capital investment will increase given the training of the staff. Moreover, the labor-intensive work like handling dual code sets much after the October 1 2015 deadline until all is ironed out, the change in business documents like contracts, bills, training and operation documents, etc. associated with ICD-9 codes will all need to be updated.

To know more about the ICD-10 and DME Billing- Does Outsourcing Spell More Revenue?, click here: https://bit.ly/3HCMeij Contact us at info@medicalbillersandcoders.com888-357-3226.

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