How To Manage Your Full HME Billing Services

It is true that to run a HME billing business, you need to invest your effort, time and a lot of application! On top of it, there are a lot of reimbursement cuts as well as increasing costs in labor. As a supplier, you might be deviating from delivering quality patient care and miss provider referrals. If your KPI’s are not in track and daily sales outstanding value is increasing by the day, chances are you might soon land up in serious confusion.

Your plan ahead as a HME supplier

So what’s the way out? Are you going to continue taking the backward slump! Don’t worry! you are definitely not the only one that is in deep water. Revenue cycle management experts have to adapt to shifting changes in technology, consumerism and patient value based care, if at all as a business you are looking to earn a competitive edge. What you need is a consistent roadmap to attend your HME full service billing!

What defines HME full service billing

To start, full service billing is an array of services which are provided by an outsourcing vendor. A company understanding your individual processes, renders competitive support is the one that can help you stand ahead at this trying times! You need a reliable partner that can help you manage all aspects of your revenue cycle with a specialized perspective.

To dive deeper, a HME billing and consulting firm knows how to optimize your revenue cycle management performance. The resources working for you will be proficient across all platforms and hme medical insurance norms.

Moreover, it will help you stand ahead in the competitive landscape with a specialized vendor offering all the needed support in the home medical equipment list. Exposure across varied product lines is what will make or break the game for you as a supplier!

The services under full HME Billing Service will include:

Pre-billing Services:-
♦ Eligibility Verification – Online & Calling
♦ Authorization Initiation – Online & Calling
♦ Authorization Follow Up
1. Follow-up with payer on Authorization
2. Completion of authorization form based on the

outcome of the request
♦ Doctor’s Office Follow-up for documents etc
♦ Re-Authorization
♦ Order Entry

1. Patient Account Creation
2. Patient’s demographic entry
3. Prescription information entry
4. Insurance entry
5. Provider’s information entry
6. Item entry
♦ Order Confirmation
♦ Scheduling of Delivery

Post-billing Services:-
♦ Creation of Claims
♦ Claims Submission
1. Primary/Secondary/Tertiary claim submission
(via paper/fax/electronic)
♦ Claim Rejection Management
1. Online rejection checking (via Clearing House)
2. Correction and re-submission of the rejected claims (via Clearing House)
♦ Payment Posting – Auto & Manual
1. Patient payment posting and adjustments
2. Insurance payment posting and adjustments
♦ Accounts Receivable & Denial Management
1. Follow-up on pending AR balance and working on denials
2. Follow-up on possible reconsideration requests
3. Filing reconsideration requests & appeals

Also, the scope of work includes the following activities:-
♦ CPAP User Compliance tracking and support
♦ Patient Collections
♦ Re-supply processing
♦ Hold projects (CMN/PAR etc.)
♦ Fax/documentation indexing and management support

So what’s next for you!

If you are looking to stand the test of time at this trying circumstances, Sunknowledge Services Inc might have the right answer for you. Our team of experts understands what it takes to offer you customized solutions at affordable rates.

With leading clients and excellent references, we define your revenue goals as an operational extension. Enough of us for now! Speak to our team and learn how to cater unparalleled support in HME full service billing. Our dedicated resources can help you achieve your profit margins with a clearer approach.

About Sunknowledge Services Inc

Sunknowledge Services Inc is a pioneer in the world of HME billing and process outsourcing. Over the years, our highly competent medical billers and coders have transformed revenue and reduced operational costs by 70%.

Moreover, we have the highest productivity metrics at present in the entire RCM world. Headquartered at 41 Madison Avenue, New York, we are currently serving 3 of the top 10 HME and DME companies of the country. Contact us now to know what makes us unique!