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Medicare Rules Contributing to a Fraud Free DME Billing!

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  Long-standing concerns in DME (Durable Medical Equipment) known for unquestionable billing practices, led the government to take action for tackling fraud in the insurance industry. Medicare, the nation’s largest health insurance program, regulates the billing structure of the maximum number of healthcare providers. Due to its highly fragmented nature, Medicare is prone to widespread fraud thereby rising healthcare costs, taxes, and premiums. DME billing is  the process of submitting and receiving payment for a claim from the insurance company . Medicare pays for services given to the severely sick/disabled at home such as wheelchairs, arthritis kits, etc. But many DME companies supply cheap or bad quality equipment at good quality equipment rates to make profits or sometimes bill Medicare for equipment never provided. To crack down, on this fraud, the Centers for  Medicare & Medicaid Services  (CMS) issued new rules catering toward reducing needless consumption and aberrant b

Importance of Professional Podiatry Billing and Coding in Florida

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Does in-house billing eat up too much time in your practice? Are you overly dependent on a number of employees to bill for your practice? Or are you losing significant money with your billing and coding practices? Well, if your answer is yes, then the time has come to outsource your  Podiatry Billing and Coding  work to an offshore entity. The financial well-being of your Podiatry practice is specifically related to timely billing and coding procedures. In the day and age where business outsourcing is gaining traction day by day, Podiatry Physicians from Florida are also not holding back when rendering the services of an offshore billing entity. Contracting a quality  medical billing and coding agency  is a standout amongst the most critical choices you’ll ever make with respect to the business part of your practice. It is important that your podiatry charging organization has the experience, important to handle the complexities displayed by Podiatry charging and modifiers. Allocati

Three Red Flags to Watch Out While Outsourcing ASC Billing

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  ASC billing and coding is one critical undertaking, which if not performed wisely could lead the facility to the threshold of business losses. As Healthcare provider and payer regulations keep altering each year, the billing department of an ASC needs to refurbish their old charging provisions with new ones. But, as all problems today have a solution, so do this, and this is where  Outsourced Medical Billers and Coders  come to the forefront.  Outsourcing ASC Billing provides long-term profitability and the opportunity to grow without disrupting the ongoing RCM cycle of your practice. Choosing the right billing agency to handle your claims while outsourcing company charging prerequisites should not be taken lightly. There’s a significant amount of money and trust involved as you are relying on another person with your revenue cycle, which is the lifeline of your practice. Before selecting the right company, Physicians need to become as informed as possible. Part of making a susta

Podiatry Practice Increase Revenue with Outsourced Billing Service

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  Professional medical billing services try to reach a level of efficiency when it comes to revenue cycle management of podiatry practice because of their exhaustive collection practices, incessant execution of billing tasks, and updated knowledge of prescribed documentation regulations. Podiatry billing like every other specialty billing faces its own set of challenges. Unskilled billing staff and inefficient billing practices can work havoc on the RCM process of your practice. Here are the reasons why Podiatry Practice Increase Revenue with Outsourced Billing Services.  The Reasons Why Podiatry Practice Increase Revenue with MBC: Better Understanding of Podiatry Billing Guidelines Centers for Medicare and Medicaid Services (CMS) are very particular about the prescribed billing guidelines. The team of billing experts is well-versed in podiatric procedures and related codes. This helps your podiatry practice to achieve your goal of flawless billing. Do check that the company you s

Billing Myths Every Podiatrist Should Know About Podiatry Billing

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  Every successful doctor needs to know the crucial insights that go into podiatry billing to make it profiteering. With the view of recent regulation changes, your podiatry billing will need to understand the need for a modifier that acts as a myth. Here are Some Common  Podiatry Billing  Myths Busted for your Reference: Myth I: Modifier 24 is applicable to all services performed in the post-op period Reality – Modifier 24 is used in addition to an appropriate E/M code, in cases when the Evaluation & Management service takes place during a post-operative global period for reasons not related to the original procedure. We can say that this modifier indicates that the surgeon is treating the patient for a new problem altogether. This modifier is only for use during the postoperative period (10 or 90 days). This is because according to rules you cannot bill separately for evaluation & management-related services pertaining to the original surgery during the global period as

Streamline your DME Billing with MBC

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  All healthcare providers are searching for a streamlined DME billing operation team that may handle their DME billing process without much hassle. According to MarketWatch, the worldwide marketplace for Durable Medical Equipment (DME) is predicted to achieve up to USD 246.6 billion by the year 2026. This rise is predicted because of the advantages that DME products like a wheelchair, nebulizers, canes, crutches, walkers, etc. wear to people. Besides making patient’s life easy, DME products also help these patients live a life without much pain making them independent. Streamline your DME Billing with MBC The right process will make your DME billing and coding process all the stronger and help you get closer to your payments. Besides the above benefits, technological advancement within the DME medical equipment is additionally another reason for the increase of the DME market and in fact, the rising geriatric population. As old people are more prone to chronic diseases and require

Credentialing For DME Companies

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  Durable Medical Equipment (DME) is equipment that includes oxygen supplies, wheelchairs, iron lungs, catheters, etc. As you are starting a Durable Medical Equipment (DME) company, be prepared with time on hand, money, endurance, and determination; as it ultimately boils down to being paid for the products sold by your company. This means receiving DME bills from clients (patients/healthcare providers) and accepting the insurance, billing the insurance, and finally receiving payments for the  DME billing  from the insurance provider- is called  Credentialing For DME  Companies. DME business also referred to as Home Medical Equipment business is replete with potholes along the way which need to be cleared. One of them is ‘ Provider Credentialing .’ Credentialing simply denotes verification. It’s also known as DME credentialing, DME medical credentialing, DME provider enrollment, insurance credentialing, or getting on insurance panels. These terms imply that the patient is going to p