The Complexity of DME Billing and Coding

Durable Medical Equipment must be recommended by a therapeutic specialist, found medically essential, and afterward affirmed by the patient’s insurance agency. At exactly that point can the hardware be circulated to the patient.

Along these lines, the DME Billing and coding process is substantially more muddled than typical billing and coding.

Another significant piece of the DME Billing and Coding process is the mind boggling nature of reimbursement. Since a portion of the hardware is leased instead of being bought, DME billers and coders must know precisely how to code claims and when to send them, so as to get the correct repayment sums.

What TerraMed Porvides

Lower reimbursements can be bad for revenue cycle management especially when the cost of durable medical equipment is inclined to be expensive. Unless we take radical steps in quality control the problems will continue to manifest themselves. At TerraMed, we check policy compliance to guarantee completeness and accuracy of claims to avoid attracting audit. We keenly look for discrepancies and rectify unresolved errors. We offer the following as part of DME medical billing services

Data Capture

With a goal to eliminate fatal and non-fatal document errors, we appoint trained professionals to closely work with providers. Our billing professionals will patiently collaborate with your team to obtain information relevant for insurance companies. We meticulously collect and analyze the privacy-compliant data from your end. This data is securely held in our database for easy retrieval and error-free billing.

Practice Statements

We send routine statements that are crisp and accurate by summarizing the practice and facility. We check statements for errors before dispatching the copy via email.

Denial Management

Payment discrepancies are hard to resolve without expert help and knowledge of carrier-specific claims guidelines. If the reimbursed value is lesser than your expectation our denial management service will come to your aid. If you are underpaid or denied payment altogether due to non-compliance we rectify the flaw and file appeal to ensure you are correctly reimbursed without being subjected to further ordeal.

Claims Filing Assistance

Claims filing is often overlooked as a straightforward process that needs nothing more than handling form fill outs. On the contrary, it is a crucial step that contributes to the speed of claims processing. We reorder invoices and claim documents as per the insurance carrier’s preference because each carrier follows a unique standard while accepting documents from the claims initiator. After ensuring completeness of the digital and paper documents we file claims electronically in the format recommended by your insurer.

Payment Posting and Auditing

Once we collect explanations and payments from your clients, every detail is reviewed in-depth to ensure correctness. After making sure the data is error-free and valid we update the values in our database for record-keeping. We also communicate the explanation of benefits (EOB) to you so that the reimbursed amount can be compared and reconciled with our records from your end.

Fee Schedule Update

We collaborate with insurance companies to set up and routinely update fee schedules. TerraMed’s team negotiates fee schedules with insurance companies by considering the annual inflation and median cost of living. Additionally, we keep track of aging reports by frequent follow-ups. We stay in touch with insurance companies after submission to ensure a quick turnaround.

TerraMed Billing understands how to track and manage all of these billing challenges. We have developed custom programming to track your rentals and recurring items, manage your AR and still turn over your receivable efficiently.