Knowledge
Management services are provided on a subscription plan to non-clients.
This service is included for all of our clients.
Knowledge Management services include, but are not limited to:
HCPC change notifications, diagnosis code change questions,
coverage policy updates and revisions notifications, changes in
allowable amounts, and any other coverage or Medicare billing
guidelines.
Medicare/Medicaid Enrollment Assistance
Are you
interested in expanding your store to include durable/home medical
equipment? BMS can assist
you in completing the enrollment applications for both Medicare and
Medicaid. Since some of the
application pages require provider/supplier signatures, we will send the
application flagged and marked for signatures, appropriate supporting
documentation and an envelope addressed to the appropriate entity.
Provider Enrollment Assistance
With an
increasing number of third party insurers requiring providers to be
in-network to receive reimbursement, it has become important for
providers to seek out the enrollment process.
With this service, BMS will research the process of enrolling the
third party insurers you request and assist you with the application
process as well.
Specialty Services
BMS is pleased to offer full service
consultations for marketing and promoting your DME department.
Our consultants can include the training of your personnel on how
to operate and manage your DME department effectively and efficiently.
The training will consist of documentation needed to keep your
files compliant, what is covered and what is not, what is billable
through Medicare Part B and what is not, and how to successfully submit
claims for payment to all insurance carriers.
Medicare Compliance Review
BMS strongly
recommends that every provider have a Medicare Compliance Review once a
year. The penalties, should
Medicare find any non-compliance during an audit, range from: fines and
repayment of funds for each infraction, to jail time if Medicare finds
there is any intentional fraud or abuse on behalf of the provider.
Once the review is complete, BMS will provide training and
education services to your staff to enable them to bring each patient
file into full Medicare compliance.
Denied/Rejected Claim Review
This service is included
with our claims services for our clients.
For non-client providers, the subscription to this service covers
any claims that are denied by Medicare, Medicaid, or any private
insurance company. All you
have to do is provide BMS with the insurance explanation of benefits
(EOB) and claim information.
Our Claim Analysts will research the claim in question and then prepare
a thorough statement informing you of the solution for the claim,
including the steps you need to take for re-submittal, written
re-determination, etc.
Written Re-determinations
This service is provided at
a significant discount to our existing clients.
If during the above process, non-client providers have a claim
that will require written re-determination; we will generate the
necessary forms for you and notify your staff of the documentation
required for submittal with the forms.
Your staff will then gather the necessary information and attach
it to the forms we have completed for you. We will provide you with the
address of the applicable carrier for the mailing of the corrected
claim.
Outstanding Accounts Receivables
(more than 60 days old)
BMS offers outstanding accounts receivables management and collections
for those hard to collect insurance and patient payments.
You will be provided a monthly report that details all
collections activity.
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