According to studies every year, about 6 to 8 percent of overall revenue is lost by healthcare organizations for denials, which leads to huge losses for the healthcare service providers. Impacting healthcare financial stability, a denial in a DME billing only slows your DME billing process in achieving a seamless billing operation that you have always desired. However, reducing the number of denials claims in the billing process not only helps you with increased profits but also in the collection rate.
This is why here are a few points that help you out in getting the solution you need for a seamless DME billing process.
How to improve your DME billing Denial Management process:
Ensure complete knowledge about the industry mandates and claims requirements process- having a complete industry mandates knowledge and about the patient's claim is important as it not only maximize your revenue collections but also prevents future claims from getting denied. Moreover, a complete knowledge only helps in a faster claims process ensuring a faster reimbursement rate.
Identify common denial mistakes and ensure correct information is incorporated- to order to establish an effective denial management process, identifying types of denials that are most common to your organization plays a vital role in reducing your chances of denial for your billing process. In fact, careful collection of information should be considered while the data entry process and also during the processing of claims.
Ensure timely submission of the claims- ensuring a timely submission of claims will lead to a more effective system. This not only reduces your chances of claims getting denied but also speeds up your DME billing process.
Continuous follow-up and robust reporting – continuous follow-up and robust reporting give you a complete knowledge of the progress and success of the claims management process. Additionally, it also gives you a clear picture of which areas are working and which ones need improvement.
Outsource your DME billing process- outsource RCM organization not only specializes in providing revenue cycle management services including denial management but to other DME billing steps too. Taking complete care of your DME billing process, so that you can focus more on your core work of patient care, outsourced organizations ensure seamless billing operation. With complete knowledge about the industry mandates, software functions, these outsourced organizations have a specialized team that is highly trained in handling all the DME billing complexities while increasing your cash flow.
How outsourcing is a better option?
Helping you by fixing your denial claims, outsourcing your DME billing process maximized the cash flow as it reduces the chancing of billing errors due to its team of skilled billers and coders, which in-house staffs often lack. Identifying and interpreting denial patterns, these RCM organizations not only identify the root for the denial but also find a suitable solution that ensures lesser denied claims. Ensuring an operational cost reduction, these organizations have excellent industry references and dedicated account manager helping you for your DME billing problems.