It is true that CMS understood that DMEPOS providers are not billing for waste when it happened as the single dose vials waste was miniscule as compared to the volume of claims submitted with single use drugs.
- It created a loss for CMS as the Infrastructure Investment and Jobs Act amended section 1847A requires manufacturers to provide a refund for discarded amounts to CMS. .
- Whenever waste wasn’t reported , the rebate was missed out by CMS.
- Now a more stringent billing act for waste regulation mandate for single use drugs was scheduled to go into effect on July 1 2023.
- However , some last minute changes have actually simplified the process and have waste related modifiers to be optional in use.
- So for now, the mandate to report to Medicare Part B for any single use drug whether there is waste or not will be voluntary.
It is important to note that all of the aforementioned challenges in DME billing shared may not be on the top of the minds of your in house resources. Exploring and choosing the right options for managing DME billing from start to finish requires a team of experience. A dedicated DME billing vendor helps in addressing exactly that with consistency and compliance.
Eliminate challenges with a trusted DME billing vendor
A critical challenge that lies ahead of any DMEPOS provider is in finding the right partner that can work as a genuine guide. This possibility is addressed best by a consistent partner that knows how to optimize growth by working as a reliable operational extension.
- Also, the company knows how to reduce operational expenses and induce quality measures that can help in defining both your front and back end challenges with composure.
- That’s where Sunknowledge Services Inc’s DME billing experts come into the picture. The company has perfect understanding of the latest guidelines in DME billing and coding and knows how to optimize your ROI possibilities by working as a trusted guide.
- Moreover, the company has proven expertise in reducing operational expenses for some of the largest DMPEOS providers by almost 80% , working as a genuine operational arm.
To conclude, Sunknowledge’s DME billing experts can actually transform your front and back end efforts with complete consistency. They understand the meaning of defining growth and helping you to focus on your patients a lot better. Also, the company takes pride in having excellent client references from some of the top names of the country.