Navigating the billing requirements for prosthetic devices can be challenging, especially with the frequent updates to coding and payer policies. At Invicta MD, we specialize in prostheses billing, ensuring precise coding and accurate documentation to avoid claim denials. Our experienced billers and coders understand the nuances of durable medical equipment (DME) claims, from initial authorization to final payment.
Navigating the billing requirements for prosthetic devices can be challenging, especially with the frequent updates to coding and payer policies. At Invicta MD, we specialize in prostheses billing, ensuring precise coding and accurate documentation to avoid claim denials. Our experienced billers and coders understand the nuances of durable medical equipment (DME) claims, from initial authorization to final payment.
Billing for prostheses is far more intricate than regular medical services, requiring precision to ensure accurate reimbursement. Here are a few key reasons why outsourcing this process to specialized professionals like Invicta MD is crucial for your practice:
The coding for fitting and adjusting prostheses include the office visit, so billers must be aware that they may not also use the code for a visit in the claim.
Prostheses billing involves overlapping codes for fitting, adjusting, and patient training. Properly coding each service and using modifiers to avoid duplicate payments is crucial. Incorrect coding can lead to over-coding and, in severe cases, fraud charges.
Some prosthetic devices lack established codes, requiring billers to research and find the appropriate ones. This time-consuming process can drive up labour costs, potentially reducing the claim’s value. Invicta MD specializes in handling these complexities, ensuring your billing is efficient and accurate so you can focus on patient care while we manage your revenue cycle.
Invicta MD is a full-service prostheses billing RCM provider with a team of experienced billers. Our proprietary billing software stays updated with the latest codes, ensuring accuracy and minimizing rejected or denied claims. Let us handle the complexities of billing while you focus on patient care.
When claims are rejected or denied, Invicta MD quickly identifies the issue and resubmits with the correct coding. What could take hours for office staff is handled efficiently by our experienced billers, ensuring maximum reimbursement and minimizing lost revenue. Let us optimize your revenue cycle and reduce unpaid claims.
