Reorganizing The DME/HME Billing Process

DME/HME billing is regarded as an extremely tedious process since a variety of complications and dependencies associated with it. In addition, once claims are filed, the procedure of tracking and making suitable follow-ups can become too time-consuming.

Furthermore, the ICD-10 coding system has resulted in a series of changes. This has resulted in increased investment in terms of staff training and IT infrastructure. Furthermore, increased scrutiny of coding and billing errors has increased stress on the core section of the billing process, billers, and coders. Resulting in decreased productivity and reduced cash flows, which has an impact on the Revenue Cycle.

However, if the DME/HME billing process is reorganized or streamlined, obstacles are identified, and a thorough understanding of payer guidelines is ingrained. In addition, if the dependencies and turnaround time can be reduced, particularly in the claims department, the ROI receives a desired boost.

In light of these developments, it is critical to make the DME/HME billing process as efficient and reorganized as possible to keep the office running smoothly.

Here are a few ideas on how to make that happen:

Signing all relevant medical forms

Missing patient signatures can cause a claim to be rejected or delayed, which is one of the most frustrating aspects of the medical billing process. Creating a standard process for front-office staff to obtain all necessary patient signatures before they leave the office can save a lot of time and effort later on.

Committed staff for DME/HME billing

DME/HME billing requires a great deal of attention to detail. Being constantly interrupted by other office tasks or incoming and outgoing patients can lead to distractions and errors. If at all possible, designate one staff member to be solely responsible for all medical billing and coding for a set period.

This can be a fairly monotonous job if it is their sole responsibility. Offices are probably better off delegating it in shifts, such as one morning or one afternoon per week per staff member. In fact, between 2012 and 2022, the DME/HME billing industry is expected to grow at a rate of around 22%.

Technology and software.

When used correctly, technology and software can reduce the number of human errors and relieve administrative staff from some of their responsibilities. One of the most important aspects of using technology is making sure that the administrative staff understands how to use it properly.

Relevant patient information

Patients now have access to much more information than just their:

● Insurance provider

● Phone number

● Physical address

Incorporating data such as email addresses, preferred method and time of contact, and other information can help make sure that the doctor-patient relationship is as efficient and painless as possible.

This is advantageous to the office because it increases the likelihood of being able to contact the patient regarding important information on time. It's also good for the patient, who appreciates being contacted in the way that they prefer.

What makes Sunknowledge so proficient in DME/HME billing?

As one of the leading RCM companies, Sunknowledge Services Inc. makes sure an 80% reduction in operational costs. We maintain the highest productivity metrics in the industry by maintaining 99.9% accuracy rate in all DME/HME billing and coding processes.

Sunknowledge expert billers and certified coders take care of your entire pre and post-billing back and front-end services. We work on reducing the rate of claim denial and rejection, as well as continuous follow-up and faster reimbursements.

During the Emergencies:

We serve all of our clients with the highest productivity and lowest pricing in the market, even during these critical scenarios.

During COVID times, Sunknowledge excels at delivering maximum productivity. We have been consistent, unlike our other RCM competitors, and our client feedback is proof of our credibility.