{"id":75,"date":"2016-10-03T14:08:36","date_gmt":"2016-10-03T14:08:36","guid":{"rendered":"http:\/\/www.medicalbillersandcoders.com\/dme-billing-services-blog\/?p=75"},"modified":"2023-06-07T06:32:46","modified_gmt":"2023-06-07T06:32:46","slug":"maximize-clinical-outcomes-increase-profitability-of-your-dme-practice","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/dme-billing-services-blog\/maximize-clinical-outcomes-increase-profitability-of-your-dme-practice\/","title":{"rendered":"Maximize clinical outcomes and Increase profitability of your DME practice"},"content":{"rendered":"

During tough times tough decisions need to be implemented. Many healthcare practitioners and providers have been facing reduced reimbursements mainly affected due to the emerging and changing healthcare rules and regulations.<\/p>\n

Three main problems faced by healthcare providers are:<\/h2>\n
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  1. Reduced reimbursement from all payers<\/li>\n
  2. Noticeable decrease in patient footfalls due to increasing market competition and the tough economy<\/li>\n
  3. Increase in Administrative and practice operating costs<\/li>\n<\/ol>\n

    Commonly, physicians<\/a><\/strong> are known to provide certain ambulatory items to patients only in the office such as crutches, canes, walkers, and folding manual wheelchairs, and only if the arrangement meets the requirements of an applicable exception to the Stark self-referral prohibition. Other DME items are prohibited unless the physician is licensed as a DMEPOS Supplier by NSC and documents personal compliance with all professional suppliers and quality standards. Physicians cannot seek reimbursements for DMEs dispensed to Medicare or Medicaid patients under the \u201cStark Law\u201d or \u201cphysician self-referral ban,\u201d as well as the Medicare Supplier Standards.<\/p>\n

    Thus the need arises for physicians to venture into other modes of generating revenue opportunities with their own patient base while they maximize patient clinical outcomes.<\/p>\n

    There are very simple ways to handle this and be fully compliant with healthcare federal and state regulations. Following proper guidelines, correct protocols & processes that adhere to the regulations, a lot of monetary as well as clinical benefits can be accrued. This can be implemented either in-house or better still outsource just the DME dispensing process, and thus maintain an efficient Revenue Cycle Management (RCM)process that brings in healthy revenues.<\/p>\n