Medical Billing Blogs

  Durable Medical Equipment billing is complex as it requires a detailed understanding of how to code claims, what to bill for, and when to submit claims. Recently, there have been several cases of incorrect DME billing, either due to a lack of knowledge or a fraudulent attempt to make money. DME billing fraud comes in a variety of shades and colors. Billing for items that were not ordered or received is a common type of fraud. The discrepancy is revealed in the paperwork known as the Explanation of Benefits (EOB) or Medicare Summary Notice (MSN) . Sometimes fraud occurs when a patient receives equipment not prescribed by the doctor. Other types of fraud include receiving a phone call from someone unrelated to the physician's office requesting Medicare information, billing for duplicate orders, higher-than-normal rental charges for equipment, etc. Insurance companies detect fudged billing with great expertise, regardless of how it is committed. However, they can result in heavy...

  24/7 Medical Billing Services has been instrumental in the growth of many DME stores in the Ohio area. As recent times have hit the Medical Equipment suppliers hard, mostly because of the lack of foundational trust, 24/7 Medical Billing Services Company has taken a successful stride by signing a contract with a prominent DME store in the region. Even though the prominence DME suppliers enjoy is high, their reimbursement margins are low. It is a fact that has been clear for most DMEs across Ohio. It proves that meagre reimbursement levels aren’t enough to sustain their business. Furthermore, the high costs of Durable Medical Equipment’s have not left enough room for financial growth. But that’s not the only reason it happens, for the blame also lays upon the constantly modifying regulatory compliances. “The financial well-being of any business hinges on the communication of accurate billing data. As margin shrinks and the dynamic regulatory compliances from HIPAA start posing...