Points to Consider Before Hiring a Medical Billing Company

by | May 27, 2021 | 1:27 pm
Points to consider before hiring a medical billing company

Operators of a DME/HME need to attend to both medical requirements and medical records. It is important to diligently manage medical records, including ensuring better claim processing and timely payment, as well as better patient management. The latter is particularly important for a growing company, and puts the spotlight on the need to hire a professional medical billing company. As work volume grows, so does the need for reliable and accurate medical records for your DME/HME.

Typically, a mid-to-large sized DME/HME can leverage the assistance of professional billing solutions, both to manage claim applications as well as streamline overall financial management. It is important to position the company for higher growth and in some cases a diversified development plan. When carefully selected, professional services providers can prove to be trusted partners who help businesses move to the next level of growth without the hassles and enormous investment needed in setting up in-house systems.

1. HIPAA compliance

Medical billing takes into account patient details, such as health information and insurance data. Choosing a HIPAA-compliant provider is critical to communicate trust and responsibility to your patients. HIPAA guidelines help enforce responsible use of patient information, particularly personally identifiable information.

 Medical billing rules are dynamic. The Centers for Medicare & Medicaid Services contain information on corrections and modifications to the fee schedules for DME items which will come into effect for claims received on or after April 2021.

Entrusting your medical billing to professionals or choosing to hire a HIPAA-compliant medical billing company helps ensure your business benefits from dynamic regulations without losing money due to unnecessary payments or missed paperwork.

2. Experience in financial management

Financial management for a DME/HME business is different from that for businesses in other industries.

Experienced medical billing providers bring in-depth understanding of laws and rules as well as insights into claim applications, accessing required information. They are skilled in the correct handling and management of patient information and paperwork.

Revenue management cycle (RCM) is vital to prompt DME/HME payment. An experienced medical billing company can ensure accurate billing as well as streamlining of processes for improved RCM.

3. Denial management services

Denial management can be time-consuming and tedious. Entrusting this to professionals can free precious resources in your business to ensure your core work continues without hindrances.

Claim rejection cannot be avoided completely, however, it involves researching the cause, identifying the reason, and following up. All of these are time-consuming and yet must be undertaken.

This makes the presence of a professional medical billing company even more vital. If your business invested time and attention to denial management, other more important tasks such as pursuing current business needs would suffer, directly impacting revenue flow.

Next Steps

  • A DME partnership can provide the right assistance and expertise to reliably manage your DME/HME billing requirements, including data management, such that the business can continue to focus on providing quality healthcare. Learn more about our medical billing services at https://www.analytixhealthcaresolutions.com/.
  • Email us at [email protected] or call 781.503.9002 for a free session.
  • Engage with us on LinkedIn and Twitter.