More traditional medical practices used to handle their medical billing in-house. However, with the ever-changing regulations in the healthcare industry and the complexity of the medical coding system, more and more practices have decided to outsource their medical billing needs. When it comes to medical billing, there are several great benefits to outsourcing the work.
DME billing is the process of submitting and receiving payment from an insurance company for a claim concerning the use of a DME. It is a complex system that requires strict implementation, maintenance, and staff education on proper billing and medical coding to ensure the success of the DME provider. Errors in DME billing can cause delays in payments and enormous losses for the healthcare provider.
Healthcare providers face a constant challenge in today's regulatory environment. Claims audits, reviews, and investigations by insurers, auditors, and the government can create legal, financial, and reputational risks. To avoid this risk, healthcare providers must establish rigorous documentation processes that comply with regulations and are thorough enough to defend claims if challenged.
As healthcare continues to evolve, it's more important than ever to ensure that your medical practice is properly reimbursed for the care it provides to patients. Durable medical equipment (DME) billing is an essential component of revenue cycle management and streamlining this process can lead to higher reimbursements.
With the enactment of the Health Insurance and Portability and Accountability Act (HIPAA), medical providers were mandated to adhere to strict federal guidelines to protect patient information. With HIPAA in place, health practitioners have an ethical obligation to manage records to safeguard patient information adequately, which has also become a legal requirement.
Proclaim Billing Services goes beyond just providing billing services and support. We can also provide business consulting services through our sister company KG Simple Solutions.
