Avoidable Errors during DME Billing & Coding Services
DME
(Durable Medical Equipment) is typically reusable equipment used for long-term
recovery. It is currently experiencing exceptional growth. It is popular among
the senior population, so demand is increasing. As a result, there have been
changes in DME billing. Furthermore, the DME billing system is seen to be quite
complex. Therefore, if an error occurs in DME billing, a physician may suffer a
significant financial loss.
Coding
Mistakes in DME Billing
When it comes to DME
billing, medical coding is crucial. This has been identified as one of
the most significant errors in the billing process. As each medical
documentation resembles a different code, any errors in this area may result in
the display of the incorrect service. Not only this, the following are the
avoidable errors to double-check before submitting the claim:
Upcoding errors occur when patients
are billed for more complex and expensive procedures than they received. These
errors occur when a DME billing department executive enters treatment and
diagnosis codes incorrectly.
A simple slip of the finger can cause
a major data entry problem and alter the procedural codes. This error typically
occurs when DME related information from encounter forms and other supporting
documents is incorrectly documented.
This entails dividing the DME
diagnosis procedure into several smaller procedures. When there is a
comprehensive code for the entire procedure, each of them is billed and coded
separately. This is an unethical method of billing a patient and may result in
an audit. As a result, it is critical that your medical coders are aware of
this error.
Some ICD-9
codes require a fourth or fifth code to achieve the highest specificity.
If this section is left blank, the claim will be rejected. If the coder is
unsure about the highest level of specificity, he should consult the codebook
or the internet to confirm his facts.
This error occurs when the healthcare
provider fails to provide the necessary information to the payers, resulting in
claim denial. These errors can be caused by employee mistakes. It can also
happen when DME doctors don't provide accurate diagnosis information.
DME coders typically do not code the
actual medical procedure unless the description includes the equipment details.
Otherwise, it may result in incorrect interpretation of reports and errors in
the DME billing and coding process.
The staff must be kept up to date on
the latest changes in DME medical codes. The references used by coders must be
updated on a regular basis as the DME coding system changes. Any outdated
references must be immediately replaced with new ones, or else revenue will be
lost.
This is a case of human error in
which the same DME equipment is billed twice. This may necessitate
re-submitting a claim rather than filing a follow-up claim. These claims are
typically divided into two categories: suspect duplicate and exact duplicate.
How
to Avoid DME Medical Coding Mistakes?
DME medical coding errors can be
extremely dangerous if they occur on a regular basis. It can cost DME
healthcare providers, clinics, and other medical centres tens of thousands of
dollars. Some of the most important tips for avoiding DME medical billing
errors are listed below -
Using DME billing systems capable of
detecting common errors before claims are submitted can significantly reduce
the number of errors.
It is critical to hire highly skilled
individuals who have been thoroughly trained to handle any requests. To avoid
duplicate DME billing, the team must ensure that each claim submitted is unique
and not repeated.
To avoid errors like unbundling and
upcoding, the medical coding team must adhere to a unified process that keeps
the team focused on the adjudicated process.
Reduce
DME billing errors by Outsourcing!!
You must keep a close eye on the
aforementioned DME billing errors and hire an expert company such as 24/7
Medical Billing Services for dealing with the DME avoidable errors in a smooth
manner.
Outsourcing the DME billing process
is the most effective way to reduce errors. This reduces your workload and
error, allowing you to focus on your patient. Furthermore, entrusting your DME
billing process to experts will significantly reduce your errors, denials, and
rejections.
About
24/7 Medical Billing Services:
We
are a medical billing company that offers ‘24/7
Medical Billing Services’ and support physicians, hospitals, medical
institutions and group practices with our end to end medical billing solutions.
We help you earn more revenue with our quick and affordable services. Our
customized Revenue Cycle Management (RCM) solutions allow physicians to attract
additional revenue and reduce administrative burden or losses.
Contact:
24/7
Medical Billing Services
Tel:
+1 888-502-0537
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