In the ever-evolving landscape of healthcare, the correct billing and reimbursement for power mobility devices (PMDs) remain a crucial aspect. Recently, a nationwide audit revealed significant discrepancies in Medicare reimbursements for PMD repairs, highlighting the importance of adhering to stringent billing guidelines.
Understanding Power Mobility Devices:
Power mobility devices includes power-operated vehicles, scooters and power wheelchairs etc which play a pivotal role in enhancing the mobility and independence of patients with limited ambulatory abilities. To ensure proper reimbursement, it is imperative for healthcare providers to comprehend the coverage criteria outlined by CMS(Centers for Medicare & Medicaid Services).
Key Steps in Power Mobility Device Billing:
Update Medical Record:
- Create a detailed narrative of the patient’s functional abilities and limitations.
- Include relevant medical history, symptoms, diagnoses, and ambulatory challenges.
- Support the medical need for a PMD with lab tests, X-rays, and diagnostic reports.
Standard Written Order (SWO):
- Generate a prescription(SWO) within six months of the face-to-face visit.
- Include patient details, item description, quantity, order date, provider information, and signature.
Prior Authorization Request:
- Initiate a prior authorization request for power wheelchairs.
- Ensure affirmation from a Medicare Administrative Contractor (MAC) before delivery.
Review and Avoid Improper Payments:
- Collaborate with DMEPOS suppliers to prevent improper payments.
- Ensure complete and signed medical records, accurate documentation, and adherence to billing requirements.
How Sunknowledge can make a difference in your power mobility device billing
Partnering with a proficient billing company is pivotal for ensuring accurate reimbursements and maintaining compliance. Here’s how Sunknowledge can simplify power mobility device billing:
Expertise in DME Billing:
- Sunknowledge boasts extensive experience in DME billing, ensuring in-depth knowledge of the specific requirements for power mobility devices.
Efficient Workflow:
- Leverage automated processes for optimized workflow and faster payments.
- Minimize errors and denials while maximizing cash flow.
Streamlined Processes:
- Implement electronic workflows to streamline communication and eliminate administrative burdens.
- Enhance coordination between front and back-end processes for a seamless experience.
Patient-Centric Approach:
- Improve the patient experience by minimizing billing and coding errors.
- Focus on touch points that contribute to higher patient satisfaction.
Claims Scrubbing and Faster Collections:
- Reduce claim denials by ensuring accurate coding from the outset.
- Utilize the latest software and automation tools for expedited data collection and insurance verification.
Navigating the complexities of power mobility device billing requires a meticulous approach and adherence to CMS guidelines. Sunknowledge emerges as a reliable partner in this journey, offering expertise, streamlined processes, and a patient-centric approach. By collaborating with Sunknowledge for your power mobility device billing, healthcare providers can ensure optimal reimbursements while providing essential mobility solutions to their patients.
Sunknowledge Services Inc. – an ISO 27001:2022 certified, American-owned & operated company, headquartered in New York City – is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.
