It is true that as a supplier of DMEPOS items and services, you have to be well aware on how your daily inventories are looking. DSO’s are they rising with increase in denials? You must have answers for all these if you are looking to earn an edge as a supplier of prosthetics items.
Adjustments on your billing practices reflects the fact that as a supplier, you are complying with the regulations and policies of the CMS and other commercial insurance. Hence, you have to make the best efforts to improve your viability and also earn a competitive edge.
According to the latest report, the rate of improper payment was 46.3 % with a projected amount up to $3.7 million. A major part of it is due to errors in medical necessity and consequent documents. As a Prosthetics supplier, you are surely not looking to take sides with the wrong team! Finding a definitive roadmap on how you can handle your Prosthetics billing will be a surefire need.
A team managing your front office: Do you have a team of competence to handle all your everyday requirements with practice management? What are your present day standards with eligibility checks, prior authorization, order entry, doctor’s office follow-ups? All these sums up your ability to get a claim processes and get paid on time!
In fact, the entire DMEPOS industry is plagued by front office errors and not finding the right balance in managing everything with proving of medical necessity, collecting all the documents on time from the therapist and physician and doing it all to schedule the delivery perfectly. An answer to your front office pains is the gateway to better reimbursements in the long run.
Customized reporting/ Communication practices: The biggest challenge is to find a team that has the ability to offer support, derive ways to improve by working according to your protocols. To start off, a detailed process manual helping every one understand what will be the work flow followed and how accounts will be approached.
Also, standards with reporting is critical! Do you need weekly, monthly reports and if that so how do you want the data to be shared? With today’s business standards, you must be looking for a dedicated account manager ready to work for you and offering you all information with seamless communication standards.
Unparalleled productivity standards: When it comes to handling all your pre and post billing Prosthetics billing demands, a quality team of dedicated experts will do it all and clear accounts especially if they are proficient in prominent O&P software like OPIE and likewise.
There are a lot of software platforms in use and a team of quality billers will have versatility in offering unmatched productivity standards in working with your accounts with consistency and compliance, helping you focus on your core responsibilities.
To conclude, a reliable Prosthetics billing company, understands what it takes to deliver actionable support. It eliminates challenge areas in your every operational activities, reduce your costs and help you boost your collections in the best possible manner.
