CMS updates HCPCS Level II codes for DME in medical billing every year medical billers need to update codes These complexities can impact claims big time and requires attention to detail.
Accurate documentation is the foundation of DME billing compliance. This includes:
Detailed physician orders: also known as a Standard Written Order (SWO) or Detailed Written Order (DWO), is a document that confirms what a physician has prescribed for a patient. Must be signed, dated, specify the exact DME, patient’s diagnosis, patient information, physician information, length of need and any special instruction. For DME drugs under the DME benefit the order must also specify: drug name, dosage/concentration, duration, quantity and refills.
The detailed physician order acts as a bridge between the physician’s prescription and the DME supplier’s billing process, so the right equipment gets to the right patient and the claim is properly supported for reimbursement.
Streamlined prior authorization (PA) in Durable Medical Equipment (DME) billing refers to optimizing the process of obtaining approvals from insurance payers before providing DME items to patients.
Also using outdated coding resources and not meeting specific payer requirements contributes to denials.
Improper handling of PHI
Feel free to reach out to us at 800-640-6409 with any questions or for a free demo to see how Medcare MSO can revolutionize your DME billing process. We look forward to partnering with you!
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