How to Reduce DME Claim Denials and Improve Reimbursements

How to Reduce DME Claim Denials and Improve Reimbursements

How to Reduce DME Claim Denials and Improve Reimbursements Claim denials occur frequently in Durable Medical Equipment (DME) providers who experience cash flow delays and unnecessary administrative overheads. Such DME claim denials are commonly due to avoidable documentation mistakes, wrong modifiers or inadequate authorization. The good news? A proactive billing strategy of focusing on compliance […]

Hospital Medicine vs. Internal Medicine: What’s the Difference?

Hospital Medicine vs. Internal Medicine: What’s the Difference?

Hospital Medicine vs. Internal Medicine: What’s the Difference? Hospitalist and internist terms are used at nearly the same time in the healthcare industry; however, they can denote different positions with varying priorities. Knowledge of the distinctions that exist between hospital medicine vs internal medicine can help elucidate the roles played by each speciality in taking […]

Retrospective Authorization vs. Prior Authorization: What’s the Difference?

retrospective authorization vs. prior authorization: What’s the Difference?

Retrospective Authorization vs. Prior Authorization: What’s the Difference? Routine lab test or even a complicated surgery, receiving payer approvals will be the difference between life and death in the revenue cycle. There are two most common authorizations that are confusing to billing professionals, which are retrospective authorization and prior authorization. Although the two are all […]