Corrections to Home Health Processing – Claims with Condition DR or Claims Receiving Admission Source Edits

The Centers for Medicare & Medicaid Services (CMS) has issued a new Change Request (CR) 13225, effective January 1, 2024, aimed at refining the processing of home health (HH) claims. This update focuses on improving the accuracy and efficiency of claims reporting condition code DR and handling admission source edits. Key Changes: Removal of Edit […]
Understanding the Competitive Bidding Program for Durable Medical Equipment (DME)

Understanding the Competitive Bidding Program for Durable Medical Equipment (DME) The Competitive Bidding Program (CBP) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) is designed to improve the efficiency of Medicare payments for DME and ensure that beneficiaries have access to quality medical equipment at lower costs. The program encourages suppliers to submit […]
Reimbursement Changes

Reimbursement Changes Medicare Reimbursement Rate Adjustments: Background: Medicare periodically adjusts reimbursement rates for DME based on market data and competitive bidding outcomes. Recent Changes: Rates have been adjusted to reflect the savings achieved through competitive bidding, with reductions in payment rates for many items. Impact: Lower reimbursement rates can challenge the profitability of DME […]
Product Trends in Durable Medical Equipment (DME)

Product Trends in Durable Medical Equipment (DME) The demand for durable medical equipment (DME) is being driven by several factors, including the rise in sleep disorders, respiratory diseases, and the growing preference for home-based care. Key products experiencing high demand include CPAP supplies, oxygen tanks, personal mobility devices, and home medical furniture. Let’s delve […]
Mobility Devices Industry: Profits and Losses, Low-Cost Manufacturing, and Insurance Payments

he durable medical equipment (DME) industry is witnessing significant growth due to an aging population, rising chronic diseases, and technological advancements. Companies are expanding their geographic presence and leveraging strategic partnerships to meet diverse healthcare needs. This growth is further driven by the increasing demand for home healthcare solutions. Key players like Invacare, Sunrise Medical, and Medline Industries are continuously innovating to maintain profitability and market reach. Understanding financial dynamics, sourcing strategies, and insurance billing processes are crucial for navigating this evolving industry.
Marketing Strategies for DME Supplies: Detailed Workflow

Online Presence and Digital Marketing Website Optimization Workflow: Audit Current Website: Identify areas for improvement in navigation, content, and design. SEO Implementation: Research keywords related to DME products. Use tools like Google Keyword Planner, Moz, or SEMrush. Content Update: Ensure product descriptions are detailed and include specifications, benefits, and clear images. Technical SEO: Improve site […]
Market Growth and Regional Expansion in the Durable Medical Equipment (DME) Industry

Market Growth and Regional Expansion in the Durable Medical Equipment (DME) Industry Overview The durable medical equipment (DME) market is experiencing robust growth driven by an aging population, rising chronic disease prevalence, and increasing demand for home healthcare solutions. This growth is complemented by strategic regional expansion by companies aiming to tap into diverse […]
Incontinence Supplies: A Comprehensive Guide to Billing Medicaid

Incontinence supplies, including diapers, liners, and underpads, are essential for many individuals who require assistance managing bladder and bowel control issues. Billing these supplies to Medicaid involves understanding the correct procedures, documentation, and coding requirements. This blog post will provide a detailed overview of the billing process, required documentation, and a list of HCPCS codes […]
Discover BFLOW RCM Services: Elevate Your Revenue Cycle Management
We are excited to introduce BFLOW RCM Services, designed to elevate your revenue cycle management to new heights. Our comprehensive services are tailored to streamline your billing processes, optimize revenue management, and enhance operational efficiency for HME (Home Medical Equipment) businesses and DME (Durable Medical Equipment) operators. Why Choose BFLOW RCM Services? Streamlined Billing Processes: […]
Announcing the Launch of BFLOW: Revolutionizing Revenue Management and Billing Processes

We are thrilled to introduce a new BFLOW, our latest software designed to bring a new era of efficiency to healthcare providers.