Here, our client had conflicting information on Medicare coverage for patients with acute conditions. Hospitals were pressuring her for lower documentation standards, but she knew her company could not afford to deliver non-covered equipment. She had to make a decision before delivery, not later if the patients’ claims denied.
DME suppliers have to make judgement calls every day based on knowledge and experience. If you are reading this, we don’t need to explain to you the complexities of medical billing. You already know why it is difficult to stay up-to-date with reimbursement rules for every payer-product mix. You are too familiar with the beehive workload that prevents thoughtful consideration of unfamiliar billing scenarios and conflicting advice. You know there is a performance gap that can’t be filled by simply working harder or the traditional modes of consulting, training, and outsourcing.
DME suppliers have to make judgement calls every day based on knowledge and experience. If you are reading this, we don’t need to explain to you the complexities of medical billing. You already know why it is difficult to stay up-to-date with reimbursement rules for every payer-product mix. You are too familiar with the beehive workload that prevents thoughtful consideration of unfamiliar billing scenarios and conflicting advice. You know there is a performance gap that can’t be filled by simply working harder or the traditional modes of consulting, training, and outsourcing.
"Consulting doesn't really work," you say.
(K)notes Plus isn’t consulting.
It’s that thing you hoped consulting would be.
Traditional consulting can’t solve chronic medical billing troubles because it moves too slowly to prevent the errors that lose money. By the time you engage a consultant, the same problem has already happened 100 times over. For a few hundred bucks an hour, a good consultant will tell you the same thing.
(K)notes Plus isn’t consulting.
It’s that thing you hoped consulting would be.
Traditional consulting can’t solve chronic medical billing troubles because it moves too slowly to prevent the errors that lose money. By the time you engage a consultant, the same problem has already happened 100 times over. For a few hundred bucks an hour, a good consultant will tell you the same thing.
(K)notes Plus works by integrating our team with yours. There are no hourly billing rates. It’s like having a co-worker that spends all day every day studying reimbursement rules and industry developments to be ready when you need help.
"We outsource our billing."
Many of our clients outsource some portion of their medical billing operations. Outsourcing adds scale, depth, and transactional capacity. Outsourcing is great.
There are, in fact, only two types of DME companies: those that want to outsource medical billing … and those that want to bring it back in house
So why the love/hate relationship with outsourced medical billing?
Unrealistic expectations, mostly.
Suppliers often conflate revenue cycle management with the mastery required to profitably manage their business and its unique set of payers, products, referral sources, and patients. DME billing mastery cannot be outsourced as a whole. It must be cultivated.
[(K)notes Plus has entered the chat …]
Many of our clients outsource some portion of their medical billing operations. Outsourcing adds scale, depth, and transactional capacity. Outsourcing is great.
There are, in fact, only two types of DME companies: those that want to outsource medical billing … and those that want to bring it back in house
So why the love/hate relationship with outsourced medical billing?
Unrealistic expectations, mostly.
Suppliers often conflate revenue cycle management with the mastery required to profitably manage their business and its unique set of payers, products, referral sources, and patients. DME billing mastery cannot be outsourced as a whole. It must be cultivated.
[(K)notes Plus has entered the chat …]
(K)notes Plus helps DME suppliers make proactive choices at the management and intake levels to empower the internal or outsourced billing teams.
"It's just not in the budget..."
Starting at $249/month, we designed (K)notes Plus as an investment … as in “I made 10x on my (K)notes Plus investment this month!”
How much does just one denial cost? The posting. The research. The appeal preparation.
How much would you save by avoiding just one? Ten? One hundred?
How much does it cost to give away just one piece of equipment because the claim doesn’t qualify for reimbursement?
With (K)notes Plus, DME suppliers get proactive help to avoid systemic problems that lead to:
Starting at $249/month, we designed (K)notes Plus as an investment … as in “I made 10x on my (K)notes Plus investment this month!”
How much does just one denial cost? The posting. The research. The appeal preparation.
How much would you save by avoiding just one? Ten? One hundred?
How much does it cost to give away just one piece of equipment because the claim doesn’t qualify for reimbursement?
With (K)notes Plus, DME suppliers get proactive help to avoid systemic problems that lead to:
- Repetitive denials.
- Duplicative effort that exhausts staff and increases turnover.
- Write-offs that jeopardize profitability.