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The Medical Director, Director of Nursing, Compliance Officer, and Case Managers make up a typical utilization review committee. Each week they meet to analyze their weekly caseload; deciding what level of care to provide to each patient. This is a cost management measure instituted by medical groups, skilled nursing facilities, home health agencies, and insurance payers
Become efficient – Becoming efficient can take on many forms and can be achieved in a variety of ways. Getting it right requires a systemic assessment of the core functions and processes of a DMEPOS operation. Highly regulated and convoluted with unique scenario driven operating rules makes it easy for a DMEPOS become a target for
The bflow™ billing specialist is the gatekeeper for the organizations billing, collections and quality activities. Their responsibilities include reviewing and evaluating signed detailed written orders for pertinent information and completeness, evaluating the patient’s medical records for pertinent information, creating notes with attachments or bookmarks identifying medical necessity within the chart notes, SOAP notes, correspondence and
The DME market is being reshaped by new regulations and retrospective claim reviews. The failure of the industry has been on software developers producing applications that served one purpose, “transmit a claim” for payment to Medicare. Yes, this was an important feature to have in your software and you’d be hard pressed to find a
Intake patients, create claims, deliver with BFLOW Mobile, bill over 4,000 insurance plans in one simplified DME billing software.
Manage patients, create orders, add inventory and more.