Author Topic: DME billing  (Read 6524 times)

Pay_My_Claims

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Re: DME billing
« Reply #15 on: July 04, 2009, 01:09:32 PM »
do you charge a different rate depending on what the supplier wants you to do?
margemib

Girl yes!!! For instance, you have to depend on the physicians to supply you the information required to submit to Medicare for ADMC approval (except with dx of ALS), and some providers you have to pull teeth to get it done. You only have 45 days from the date of the face to face to have everything stamped and submitted or the client has to do it again.

margemib

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Re: DME billing
« Reply #16 on: July 04, 2009, 02:21:25 PM »
with all the info you need I guess you cannot fill this electronically, or can you?
Buy the way I checked out your website, I like it very much it's very professional.
margemib
Margie Finlay CMRS

Pay_My_Claims

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Re: DME billing
« Reply #17 on: July 04, 2009, 04:11:39 PM »
with all the info you need I guess you cannot fill this electronically, or can you?
Buy the way I checked out your website, I like it very much it's very professional.
margemib

Yes, you can still file electronically!!! The documentation (Medicare) has to stay on file for 7 years. (but you still must follow your state & federal guidelines for document retention). Once you get ADMC, you just basically submit the claim because they have reviewed the documentation. BCBS is one of the pain insurance companies that will request additional information (Your cost) especially on the K0108 (misc) or the e1399n (unlisted) codes. NC work comp does the same. they only pay 20% over cost (not MSRP) when there is a code not listed on the comp fee schedule. Because I know what they(BCBS) will send back for medical records request (our cost), I will split a claim. I will file electronically what is on the BCBS fee schedule, and the unlisted codes, I will send paper along with our invoice. This way the entire claim isn't held up for documentation. I know the Medicare PFFS plans will request an LMN, so I simply submit them by paper. I can still as stated file electronic, and have them send a request for the LMN and the guarantees the claim is already loaded into the payer system. Also BCBS has the electronic fax back system so the fax is directed back to the requesting person and it helps to expedite things. Yes DME is somewhat slower in some areas, but in others, its just as quick. I have the most difficulty with Medicare (waiting on documentation), the replacements, and BCBS since we are non-par. Most once you get authorization, you are done. Most of the PFFS plans don't require auth, so they will need a LMN or CMN.

Thanks on the compliment on the website.

margemib

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Re: DME billing
« Reply #18 on: July 04, 2009, 05:40:32 PM »
WOW you really know your stuff!
Thanks for all the info, it is very interesting.
Have a good rest of your weekend!
margemib :o
Margie Finlay CMRS

Pay_My_Claims

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Re: DME billing
« Reply #19 on: July 04, 2009, 07:04:40 PM »
WOW you really know your stuff!
Thanks for all the info, it is very interesting.
Have a good rest of your weekend!
margemib :o

You are more than welcome..I really love what I do!!!
Enjoy your holiday as well  ;D

Charles

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Re: DME billing
« Reply #20 on: July 16, 2009, 05:02:03 PM »
Charlene,
Do you know where I can buy a digitized policies and procedures manual?
Thanks

Pay_My_Claims

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Re: DME billing
« Reply #21 on: July 16, 2009, 05:59:37 PM »
Charlene,
Do you know where I can buy a digitized policies and procedures manual?
Thanks

I would have to know what you mean by digitized???

marilynclark

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RE: Things needed for billing
« Reply #22 on: October 21, 2009, 06:58:12 PM »
What questions would you ask the physician when interviewing for billing services

PMRNC

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Re: DME billing
« Reply #23 on: October 21, 2009, 07:09:23 PM »
Quote
What questions would you ask the physician when interviewing for billing services

Why would you interview? Do you mean for a "job" or in terms of marketing?   I don't' have a script, I try to get in and talk with the office manager, biller and provider and let them tell me what problems they have and then I present solutions.
Linda Walker
Practice Managers Resource & Networking Community
One Stop Resources, Education and Networking for Medical Billers
www.billerswebsite.com

marilynclark

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Re: DME billing
« Reply #24 on: October 21, 2009, 07:55:35 PM »
In terms of marketing.

Michele

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Re: DME billing
« Reply #25 on: October 22, 2009, 08:50:25 PM »
Like Linda said, try to get them to tell you what problem(s) they have and then focus your 'interview' on that.  If you can fix their problem(s) you are in.

Michele
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