Medical Billing & Coding Services Company in Texas

Medical Supplies

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Medical Supplies

Depending on the supply item, Medicare will consider some supplies routine and not separately billable; while others are covered, billable, but packaged and not separately billed. HCPCS codes describe medical equipment and supplies, so insurers know what to expect. Your insurer receives claims with these codes. Afterwards, your insurer calculates your payments based on the code. Codes for HCPCS can show:

Wearing braces, wheelchairs, or other medical gear
Gauze, gloves, needles, syringes, etc
Spectacles or hearing aids
Transport by ambulance
Drugs injected

What is HCPCS?

To provide you with additional information, the insurer may add a two-digit modifier to the code. A physician, a durable medical equipment manufacturer, or another provider may bill HCPCS codes. Hospitals and ambulatory surgical centers offer direct billing services.

To provide you with additional information, the insurer may add a two-digit modifier to the code. A physician, a durable medical equipment manufacturer, or another provider may bill HCPCS codes. Hospitals and ambulatory surgical centers offer direct billing services.
Have you been unable to obtain care through your insurance network, or are you seeking care outside of it? If you are experiencing these problems, you might want to consider renting instead of purchasing equipment.
Your physician can provide you with information regarding the supplies you will need during and after the procedure.Check the HCPCS codes that are applicable.
After your procedure, you should review your bills and EOBs. If you discover an incorrect code, please contact the provider.
Review the plan description or contact your insurance provider to determine what is covered by your policy.
In order to determine the cost of these supplies in your area, you can use the FH® Medical Cost Lookup.
In regards to your insurance claim, you should contact your insurance company again as soon as possible.
An HCPCS code begins with a letter followed by four digits.

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Points To Remember

You should ensure that your billable date of service corresponds to the date you disbursed the medical supplies for your patient. The patient signed a receipt for medical supplies that same day. In my opinion, it is inappropriate to bill based on the date of the prescription of medical supplies .
Please ensure you report the correct place of service and the correct medical supplies billing service modifier(s)
You should keep a copy of the receipt for the medical supplies signed by your patient
Ensure that you are reporting the appropriate HCPCS code for the medical supplies
Patient profiles should include detailed information about the patient
Ensure that medical supplies are necessary

We Will Only Promise to Issue For This Service What We Intend Actually to Grant

200 M+

Value of claims processed

24

Accounts Receivable Days

48Hours

Turn Around Time (TAT)

99%

Customer Retention

1,000,000

Number of Claims Processed

98%

First Pass Clean Claims Rate

4-9%

Revenue Improvement

30%

Reduction in A/R