2021 DME Bid: What Does it Mean and How We can Help in DME Billing!

The bidding window for Medicare DME is now set to open July 16, 2019, a change from the previous announced from the June timeline. It essentially implies that DME manufacturers will still have an extra month for preparing for the 2021 competitive bidding program. The decision to push back the bid window aims to provide all the bidders, additional time to prepare.

The bid window is all scheduled to close on September 18, 2019.

It is an effort to educate the stakeholders ahead of the bid window as well as reflects the Centers for Medicare and Medicaid’s decision to shift to a new bidding model based on lead item rather than staying back on the existing competitive bidding program.

As we witness a greater shift of financial responsibility to the patients with rising costs of healthcare, healthcare providers have to act more like retailers.

Patients surely have become more consumer oriented with their healthcare decisions with better access to information that wasn’t there 15 years ago.

They are surely looking for higher quality, low cost care and a streamlined approach with revenue cycle management is the only road ahead to more customer gains during this period.

DME providers in the new competitive landscape, have to actively engage the patients in a new, more purposeful and consumer friendly manner by establishing a strong payment assurance strategy.

Implementing this will help providers improve patient experience while simultaneously collecting payments, ensure a positive financial outcome. Increasing DME billing transparency which decreases patient frustration is the way ahead for you as a DME provider this season!

The Sunknowledge assurance in DME Billing

Ability to offer unparalleled support in both pre billing/ post billing needs in DME :- we are a one stop RCM destination for an improved cash flow. We take pride in a pool of DME billers/ coders, proficient across all major practice management/ billing systems and even have the ability to offer assistance in any client proprietary platform. Some of the reasons that set us apart in RCM domain are:

Pricing: We have the lowest rate in the market! At just $7 per hour, we offer dedicated resources who will be working as an extension of your operations. This will reduce your current costs by 70%.

Collection: With a 97% first pass collection, we offer one of the highest recovery rates in the industry. Our team lays down the right checks and balances during the front desk tasks which are offered as a part of our billing services, eligibility verification, prior authorization, coding etc ensuring claims to be followed efficiently for payment in case of any denials, worked upon by experienced AR analysts.Competitive Bidding Billing Program

Unparalleled operational productivity: A 99.98% accuracy rate, we offer you the highest productivity metrics in the industry. A robust training and audit mechanism internally helps us address areas of improvement. Sunknowledge Services Inc. focuses on an ongoing activity of process efficiency.

Dedicated managers/Customized reporting: At no additional costs, we offer dedicated managers who take complete ownership for delivery, ensuring ease of communication with an escalation metrics in place for any concerns that may arise. For improved client satisfaction, we play utmost diligence to reporting best practices. The templates of reporting are finalized based on the specific requirements shared by our clients during the transition time.

Compliance: Sunknowledge Services Inc. is an ISO 27001:2013 and ISO 9001:2008 certified organization. It covers information security as well as quality management service requirements. Also, it ensures HIPAA compliance in turn involving a stringent mechanism of auditing done by an external entity.

Our DME billing services encompass:

♦ Order Entry
♦ Eligibility Verification and Authorization
♦ Doctor Office Follow-up
♦ Order Confirmation
♦ Scheduling of Delivery

Billing & Collections

♦ Creation of Claims
♦ Claims Submission & Rejections
♦ Cash Posting
♦ A/R Follow-up
♦ Rejection & Denial Management

We are just a call away! Let our team share with you, our best practices and what difference we bring to the table as a dedicated DME billing Services Company. Leverage the Sunknowledge advantage now and earn a serious edge to earn more Medicare customers ahead of the competitive bidding.

Leave a Reply