Durable Medical Equipment Operations and Management-Video: Billing Options

Video Transcription

Video Summary

In this module of the ATPPS DME course, instructors Nick Hopper and BJ Mack provide a comprehensive overview of DME billing options. They identify three main billing models: direct billing, cost avoidance, and hybrid. Direct billing allows practices full control and revenue generation but requires managing risks such as denials. Cost avoidance, or stock and bill, shifts inventory management and billing to a third party, reducing overhead but also revenue. The hybrid model combines elements of both, maximizing profitability by allowing practices to bill for the most profitable products while a third party handles less favorable ones. The course also emphasizes considerations like personnel management, compliance, and the integration between DME software and practice management systems. Each model has its advantages and challenges, with the hybrid model being highlighted for its profitability potential, provided staff are properly trained to manage distinct processes efficiently.

Keywords

Durable Medical Equipment

billing models

direct model

cost avoidance

hybrid model

inventory management

DME billing models

direct billing

practice management

profitability