DME Eligibility and Benefits Verification

0:00Introduction and today's topic

In the name of Allah, the Most Gracious, the Most Merciful. Assalamu alaikum. Today we are starting our session. And you could say today's session is our most important one, the first step for claim submission. And in the whole DME workflow, the very first step is what we will try to understand in detail. And that is eligibility and benefits verification. Okay. So today too, joining us on the call is Ansar, who also manages our DME workflow, and he understands these things in depth. The purpose of having him along is that we get a bit of interaction going, because otherwise it all feels very dry to me. So assalamu alaikum Ansar, how are you, all well? Wa alaikum assalam. Let's try to understand why verifying eligibility and verifying benefits is the most important thing.

1:04What eligibility verification is

Okay, so let's understand a scenario. Say, for instance, you dispensed some HCPCS code, and its price is, say, a thousand dollars or twelve hundred dollars, and you did not do the verification properly, then that is a big risk. If you don't know about its coverage, and you did not check what the plan is, and you did not look at prior authorization either, and besides that you did not look at the deductibles, then you could end up with a total loss of twelve hundred dollars. Okay. So for a clean claim, it is necessary that we know whether this patient is covered or not, and whether this item is added in the benefits or not, and what the patient responsibility is, and what the patient basically pays on this product.

Check it. So this eligibility is the most important thing. Eligibility is the most important, and it is the first step of this workflow. Now let's understand further. Okay. Now in eligibility, in this verification topic, there are two things to understand.

2:30Eligibility vs benefits verification (VOB)

One is eligibility, and the other is benefits, or what is also called verification and benefits. Often people mix these things up. They bring eligibility into verification and benefits as well. That is fine too, no problem, but if these two things are understood separately, categorized separately, then understanding becomes easier.

3:04What to check: coverage, deductible, copay, coinsurance

On the date of service on which we are giving the patient the service, is the plan active or not? And how will we check that? We will go to the plan's portal, meaning the payer's portal. We will go to the insurance portal, and in it the patient's name, date of birth, and the claim number, which is the insurance number, we will enter. And from that we will find out whether, on the date of service on which we are going to dispense to the patient, the plan is going to expire, that will also show up.

Its effective date will show, whether it is active or not. So this is what falls under the eligibility segment. Going ahead, we understand what falls under benefits, the verification of benefits. What six things come under it. Okay, in verification, in benefits verification, these six things come in, in which we first see whether this HCPCS code, meaning the product's code, is covered in this plan, this particular plan, or not. The second thing we find out from verification and benefits, which we get in the payer's portal itself, when we run eligibility, we find out what the coinsurance is, meaning what the patient's responsibility is, and what the payer's responsibility is, how much percent the patient will pay and how much percent the payer will pay, and whether there is a copay or not.

In DME there is no copay, but in doctor office and clinic visits there is a copay. Anyway, going ahead, now we understand that, yes, we have to see whether prior authorization is required or not. That too we find out on the portal. If prior authorization is required, then we have to submit and get the prior authorization approval. If we did not get it and missed this step, then our claim will get rejected later, and then in this way the product that we gave will be a loss.

Okay, and our next video will also be about prior authorization. In it we will try to understand prior authorization completely. Okay, the fourth thing we learn in this is the deductibles. Now about deductibles, I told you that to open the plan's services, so that the insurance starts paying its responsibility, for that, in any plan there are deductibles first. Like Medicare's, right now it is 283, something like that. Deductibles, when your plan year launches, are the patient's responsibility. The patient has to pay the out-of-pocket deductible. On a plan, a certain amount is set, and they have to pay it, and after that your plan opens, and after that you come into the insurance part of the plan, where there is a responsibility of the payer and a responsibility of the patient.

That is mostly 80-20, but if the patient has some secondary insurance or a Medigap plan, then in that case it will be that it will be covered at a hundred percent, and Medicare will automatically crossover this claim for the 20% to the secondary payer, to the Medicare Gap plan, or if it is Medicaid, then to Medicaid. And you will get a 100% plan bill, and you will not bill the patient for that 20%. Okay, the fifth thing that we find out is what quantity and frequency of the product we are giving Medicare allows, because if we give more than that, then of course it will not be billed.

And just as I tell you about a product, in Medicare, take diapers for example, there is a quantity and a limit for diapers. If you give more than that, then there will be an issue. In the same way, the sixth thing to understand, which is very important, is that we will find out whether with this payer, with this plan, we are in-network or not in-network.

6:47In-network vs out-of-network

Because mostly what happens is, like we work in Medicare Advantage plans, if with some Advantage plan, for instance with this payer, we are in network, contracted, then it is not necessary that we are also in-network with the patient's plan. Because when you apply to them to become in-network, to come into a contract with them, and if their panel is open, then they give you a list of which of our plans you want to be in-network with. So you have to tick those, and then the plans where there is room, before negotiation, meaning when you contract with the payer, there is also this: they negotiate with you in advance on every HCPCS code, on the price, at what price you will bill and what our responsibility will be.

So this is called the contractual amount. So in it they give you the plans in advance, saying that with these plans you want to be in-network, and then with some of those plans they put you in-network. And in this they do not put you in-network with every plan, but sometimes they do. So you have to check that with this particular plan, for instance, a Humana patient. Okay, you are in-network with Humana, but you will have to see whether in this plan of Humana you are in-network or not.

When we do audits, when we audit profiles and DMEs, we get to see this a lot, that they billed and their denial happened because they billed a plan with which they were not in-network. They were with the payer in-network, but with this particular plan they were not in-network. So you have to see whether you are in-network or out-of-network, and you will have to see, if you give the patient any product while out-of-network, whether the payer allows out-of-network, whether you can go out-of-network and bill, or you cannot go out-of-network and bill.

If you can go out-of-network and bill, then in that there is some insurance change. Like if you are in-network with a provider and you are billing their PPO plan, then in that you will mostly get coverage of the 80-20 kind, meaning 80% will be the insurance's responsibility and 20% will be your responsibility. In the same way, if a patient comes to a provider who is not in-network with their insurance and their plan, and after that it is a PPO and it has out-of-network coverage, then in that case the patient's responsibility increases.

Then the provider has to see, the DME has to see whether the patient agrees to pay 40% or not. And if they agree, then fine, we give it. If they do not agree, then do they agree to pay 20%? And if they agree to pay 20%, then we have to see whether the cost is being recovered or not, and then they will have to prepare documentation, which is in-network with the payer and the payer and the plan. Okay, so understanding things here is very easy. Now people who are newly watching this video and are complete beginners, for them understanding is quite difficult, because they will have to watch our earlier videos, in which we addressed in-network and out-of-network well, so understanding that is very important.

So these are the six checkpoints that you have to look at for doing verification, which includes eligibility and verification and benefits, and after that the next steps you take accordingly, and in this your clean claim ratio will go up. Usman bhai, in this there are two things I want to add: out-of-pocket maximum and same and similar are also very important. Absolutely right, we have to check out-of-pocket too, and we have to check same and similar too, whether the patient has already received this product or not.

For Medicare, straight Medicare, Medicare, we find out directly from the portal, meaning with whichever contractor we are contracted with in our jurisdiction, we can check it by going into their eligibility portal itself, but in Medicare Advantage it is that we have to call the insurance, and Usman, add one more thing, that the Medicare rule that has come, the next federal one, that everything will be viewable on a single portal. We will address that well in the upcoming slides. I have often had the chance to see that there is a mistake, that if the patient says I have Medicare, then the provider starts to assume that they have Medicare And I told you that the market has split in two ways, when we started studying and understanding, we were new in the industry, and I remember that earlier there used to be a ninety and ten percent ratio, meaning ninety percent traditional, Medicare has it.

12:39"I have Medicare": how to find the actual plan

This is one scenario. The thing to understand in it is that if the patient has Part C, meaning a Medicare Advantage plan, then of course we will have to bill the Medicare Advantage plan. And if at one time they had traditional Medicare, for instance, and they have its card too, and they are giving you the card number too, then none of that matters. We have to check which active insurance they have, right, which one they have. So if the patient says Medicare, it does not mean that they have traditional Medicare.

It means that they may also have Medicare Advantage. Check it. To understand Medicare Advantage, you will have to watch our earlier video, and then you will understand well. Also, do not on your own just assume that it is Original Medicare and then bill it. That is a dangerous thing, and the thing is, Medicare will tell you this is not our patient at all. This is with Medicare Advantage, and the eligibility of Original Medicare that you will have to check, they have released a new data management system, called the HETS system, in twenty twenty-six, twenty twenty-six, they have brought it out, so we will understand that ahead, that now we will have to check eligibility in it.

14:32Verifying on payer portals (HETS, 270/271)

I will also tell you how you have to get the DME enrolled in it. Okay, this is the most important transaction, the 270 and 271 transaction, it is an acronym. To understand these transactions, the 270 and 271, you should understand what these transactions are called. When we go to the insurance portal, the payer's portal, and enter the patient's demographics to check their eligibility, to check verification and benefits, then when we enter the patient's information in the payer's portal and submit, that transaction goes into the payer's database, that is called the 270 transaction, and then the transaction that comes back on our portal, in which we find out all of their benefits, the response that comes, of the eligibility and verification information, that is called the 271 transaction.

You can run it in real time for a single patient and also in batch mode. And in it you can also see an illustration that when I send it, it will go from the supplier to the payer. Then from the payer, meaning what goes from the supplier to the payer is the 270 transaction, and what comes back to the supplier we will call the 271 transaction. Now in it we will find out things like whether the coverage status is active, whether there is some coinsurance of 20% that the patient has to pay, and deductibles, say $320 remaining still, meaning that if we gave the patient any product, the patient will have to pay $320 out of their own pocket, because when the insurance gives us the EOB, the explanation of benefits, when we bill it, they will deduct $320 and say, take this from the patient yourself.

They will adjust it automatically. So we will find this out from the 271 transaction as well. Okay, now let's try to understand this 271 transaction, what is meant by 271 blues. It is a terminology, and 271 blues is an acronym. To understand this thing about 271 blues, the 271 transactions, the commercial PPO plans and the big payers of Medicare Advantage, meaning the big payers of Medicare Advantage plans, on their portals we find out everything, but with the small plans of Medicare Advantage, meaning the small plans of smaller insurers, in that we get very little response, and the most complete response we get is from commercial PPOs.

If we check the illustration, we will understand, just as you can see here, we found out the deductibles, we found out the coinsurance, we found out the quantity limit, we found out prior authorization, we found out the network status, we found out same and similar, but in some small Medicare Advantage plans we have to find out everything by calling the insurance. That is called 271 blues. Okay. Now the thing we will try to understand is the new HETS system, which Medicare launched in 2026, and I will also explain to you the reason for launching it.

The reason for launching it is to prevent data theft. Medicare's earlier eligibility system had chances of data leakage. And besides that, earlier the direct connection, your clearinghouse's, was not connected with your NPI. So whatever eligibility of patients you were checking, Medicare did not know, Medicare could not understand, how much eligibility you were checking, and why you need to check that much eligibility, because if there is a provider and orders are coming to them, Medicare earlier could not understand it. how much eligibility a provider is checking, and in which city, state, and which demographics' eligibility they are checking.

And then there is a bad billing practice, what those people used to do was, to check eligibility they used to run batch mode, and they would take the patient database from somewhere, and however the patient database and patient information got out, they would run batch mode on it, and from that some data leakage would happen. So then Medicare did a lot of work to stop this, and this new system, the HIPAA Eligibility Transaction System, they launched it. It is their updated and modern system. Now what happens in it is that first, to enroll in it, what you have to do is you need your NPI number and your PTAN number and the vendor's unique ID, the UID, which you have to get from your clearinghouse.

With it, what you have as your Medicare, okay, for now let's talk only about Original Medicare, not Medicare commercial. Now with these three pieces of information you will have to go to your MAC's portal, which is your Medicare Administrative Contractor. Per your jurisdiction, as I told you, A and B have one MAC that administers them, and one administrator is for B and C. So basically in whichever state you are, according to its jurisdiction, in the EDI portal, going into their EDI portal, you will submit their EDI portal's digital form with your EDI PTAN and UID.

And after that you will update this information, that your confirmation has been done, in your payer portal with your clearinghouse, because otherwise you can no longer run eligibility, and then denials will come, because Medicare now wants to understand this, how much eligibility each provider is checking, what the need is, and if they are checking more, why they are checking more. So now the NPI is connected with the eligibility system for this reason. So this is their new HETS system, and there are very small steps to enroll in it, and now they have shut down the old system. Let us try to understand these four things, what the complete verification cycle captures, so these are the four things.

21:43The four parts of the verification cycle

First of all, these four things, all the segments there are regarding verification are within these. So first we try to understand identity and coverage. In it we first have to see who the payer is, Medicare, Medicare Advantage, so for Medicare Advantage, the Medicare Advantage plan's payer, which one is it, like these commercial insurances, Humana, UnitedHealthcare, Aetna, Blue Cross Blue Shield, and mostly the big ones also offer Medicare Advantage plans. So you have to see which payer this Medicare Advantage plan is with, and then you have to see what the effective date is.

Make sure that the plan has not expired or is not about to expire. So in Medicare Advantage you have to see this thing, and this is the most important date, in it you find out the effective date first, because if you are billing for something, giving it to the patient, where for instance a prior authorization process takes seven days, or you are getting a response in 48 hours, and within 48 hours their plan is getting deactivated, then when you bill that product, you will get a denial as a result.

Okay, so seeing this is the most important thing. So as I told you, you have to see whether it is Original Medicare or Medicare Advantage, and you have to see coordination of benefits, meaning what the payer's responsibility is, and what the patient's responsibility is, this same thing is also called coinsurance. Okay, coinsurance, meaning how much the patient has to pay, what the patient's responsibility is. Yes, I want to add one thing in this, about payer and plan type, in simple words, that a payer we can basically say is a company, and the plan type, like here we have Zong, the same one, Zong the company would be the payer, and the plan type would be, like we get packages within Zong, so types like that come up.

So we will bill payers, companies, and then within them come packages, which we call plan type, so we had to see that we have to bill that company's plan. You explained that really nicely, yes, at that level it is very good, you zoomed in on it and gave a really great example. So viewers who cannot understand this either, of course they will have to go and understand the earlier videos first. Because now, as this course moves forward, things are gradually moving to an expert level, and to understand it, it is necessary at the beginning to understand all the terminologies and key terms, and I am thinking that we should make a whole video on key terms as well, in which the roughly 50 to 60 key terms that are used, we make a whole video on them, on every key term.

What do you say? Yes, yes, so that it is easy to understand in simple words. Absolutely. Absolutely, that would be great. Okay, so the second thing is to look at financial responsibility, how much of the deductibles are remaining. If deductibles are remaining, then whether the patient is ready to pay now or not, otherwise the order will have to be held, because the deductible is the patient's responsibility. In the same way we will have to check same and similar too, which Ansar also mentioned earlier, that it should not be that the previous service has already been received, that the wheelchair has already been received by them, that the CPAP device has already been received before, so now a device cannot go to them, only supplies can go.

In the same way we will have to see coinsurance, what the in-network coinsurance is, and if we are out-of-network, what the coinsurance for that is, and if there is a copay, though of course in DME there is no copay. We will have to see the out-of-pocket maximum, and besides that, if there is any DME cap, we will have to see that too. Now the third thing is the rules specific to this HCPCS code, which we will have to look at. Diapers, those incontinence supplies, are not covered in Medicare, they are covered in Medicare, so we will have to see whether it is covered in this plan or not, and we will have to see its quantity and frequency limit, how much of its supply can go within what limit, because after its limit the patient will have to pay out of pocket.

Okay, we will also have to see that, like mobility equipment, which is also called durable products, these are mostly billed as rentals, and of course I am not talking about walkers, I am talking about wheelchairs and hospital beds. And the fourth point is the authorization flags. We will have to see whether prior authorization is required or not, or whether there is some other face-to-face documentation that is necessary for this product. So for that, it is necessary for the patient to get a checkup from the doctor once, so that we have a face-to-face encounter with us, and that gives us the documentation, documentation is a product.

For a DME provider, the product, you should understand, is documentation. If they do not manage the documentation properly and keep it, and do not have audit-ready documentation, tomorrow there will be a big problem. Okay. So you will have to keep compliance and audit-ready documentation ready in advance, and when you send this to the payer, the payer's confidence in you is also there, and the benefit you will get ahead from it, the reward you will get, we will discuss that ahead, when Medicare brought out a new prior authorization rule in 2026, we will discuss that.

Okay. Okay, now we try to understand this thing, prior authorization, that before delivery we have to submit prior authorization, and before delivery, when we submit prior authorization, we will get information from the payer on whether that prior authorization is approved or not.

28:32Checking prior authorization requirements

If it is approved, we will proceed with that order. If it is not approved, if we get the information that it is denied, and it is denied, the prior authorization was rejected, then if it can be corrected, we have to correct it and resubmit, otherwise we cannot dispatch that order, or else the patient pays out of pocket. Check it, because then when we bill, if the prior authorization itself is not approved, there will be a problem ahead. Right? And even if the prior authorization is approved and you are billing, it also does not mean that payment is guaranteed.

Okay, you will have to look at all the earlier steps, the verification ones, all of them. The most important thing in it is that you have to check medical necessity. If the medical necessity of this HCPCS code is not fully reflected in the patient's chart notes, not meeting it, and you do not have complete documentation, and if the documentation is not there, then there will be a problem in an audit, but if the medical necessity is not met, then there could be a problem, of course, this prior authorization that happens, this prior authorization is about medical necessity, in that you have to submit chart notes to the insurance company, and you have to submit a digital form with it.

It is a very simple task. The next class of ours is on that, so we will understand it in detail. Now mostly the insurances have put artificial intelligence behind it, so it automatically extracts the notes and checks from them, and they are giving you the results of that, and in this, this prior authorization, in the Medicare Advantage market, mostly the suppliers remain unhappy with the commercial insurances, that we have fulfilled all of CMS's guidelines and the payer's specific guidelines completely, but even then our authorization was not accepted, it was denied, it was automatically denied.

So if you research on that, you will find that companies also sue the insurance companies, and from time to time appeals are also going on, asking why this is happening, when we are completing all the documentation fully, even then the same thing keeps happening. So to make this better, to make this better, what DME associations do is work in such a way, they are working to make it better and better, and with deferred legislation and deferred Medicare, together with CMS, they are trying to work together to make this process good.

So hopefully in 2026, 2027, 2028, the system these people bring in, there is a very big problem in which suppliers in the 50% market are not able to work properly, that problem will get solved. Okay. Now ahead we are trying to understand that ahead we are trying to understand that we also have to see whether prior authorization is required on which HCPCS code or not. And right now there are some such HCPCS codes that Medicare has added to the prior authorization list, that now prior authorization will be required on these too.

And here in this slide you will be able to see that seven days is the PA review window, meaning Medicare takes seven days to review your prior authorization. It gives you a response in seven days, and you have to see that it is not the case that some new policy of Medicare has come in which they have put prior authorization on a new HCPCS code too, just as recently, on the new HCPCS codes, in which there are orthoses and pneumatic compression devices, in that they have made prior authorization required, it was not required earlier.

Okay. Plus, in the codes related to oxygen as well, they have made prior authorization required. Meaning, the thing to understand about prior authorization is this, why it is required: earlier, when we started work and tried to understand, there was no prior authorization at all on any product, this has come in front of us ourselves. So this is so that the budget is kept under control, and if the patient has medical necessity, then the patient gets that product, and of course it is also reasonable. So now because of the bad billing practices of many suppliers, this rule has come, and in this rule, naturally, a patient needs a product, so in its approval, you see, keep the seven days for prior authorization, but if it is coming in 24 to 48 hours, in 36 hours, within 3 days, then you can dispatch to the patient, because if you do not have the status of the prior authorization, until the status comes, and you bill, and from there you find out that the prior authorization itself came back denied, because I told you that even with all the medical necessity being there, a denial can come, then your claim will be denied.

Check it. Okay, now the new rule Medicare brought out, its essence is this, that if someone maintained a ninety percent prior authorization, the ratio of prior authorization approvals, for instance, a supplier is submitting prior authorizations to Medicare, say a hundred of them, and ninety of its prior authorizations are being accepted, and ten are being rejected, meaning they are getting ninety percent of prior authorizations approved, the prior authorization ratio, they are maintaining that ratio, then after a year, if for a year they keep maintaining this ratio, then they are exempt from prior authorization.

But if they want that, no, I do not want to be exempt, I still want to take prior authorization, they can opt out of the exemption, but this is a reward from Medicare, and I feel that in the time to come, in Medicare Advantage plans too this may happen, but right now it is only a reward for traditional Medicare, Original Medicare. Okay, now there is one more new thing Medicare has brought out, these six states that you see on the screen, in them they have put prior authorizations on some products for testing, which were not there before, but on some products Medicare has now, apart from mobility, apart from mobility, Medicare has now, on some products, apart from a mobility viewpoint also, in these six states, for testing, put prior authorizations.

Okay. And now they are testing, and slowly they will take this to all states, and Medicare's prior authorization window is quite good, but in Medicare Advantage an issue comes up, which I also told you earlier. So the thing to understand in this slide is exactly this, that the faster the prior authorization, the better the reward you will get. Okay, and if you maintain the 90% affirmation ratio, you earn it. It is a good thing, but some providers have objections to this as well. You can go to Reddit and different platforms and see those discussions to understand what providers are suggesting in them, what problems they are facing.

So good. Now we try to understand the verification workflow, and in the verification workflow, this first step is that we have to capture the data. First of all, the patient's demographics, we have to collect them, which include the patient's height and weight, the patient's name, date of birth, their claim number, meaning their insurance number, and besides that, if we need a waist size or shoe size, that is it.

38:02Step-by-step VOB workflow

All of these things come under demographics, and besides that we have to see which HCPCS code they need, meaning which product they need, and we have to pull out its HCPCS code. In the second step we will identify which payer it is, Original Medicare or Medicare Advantage, so that we can verify it, so that we can verify that plan, and then we go for its prior authorization, and after that we bill that. Third, once the plan is known, we will go to eligibility, we will do that same 270 transaction, from which we will find out whether it is active or not on that date of service, whichever date of service we are planning to give the patient the product, because most products are such that they take three, four, so it should not be that within the effective date, three or four days later, the plan is about to expire.

So in the third step we check eligibility, then in the fourth step of course we check benefits, in which we check coverage, whether the HCPCS is covered within the plan or not, and what the cost share is, meaning what the coordination of benefits is, what the coinsurance is, and whether you are in-network with this plan or out-of-network, and after that we check prior authorization, and if prior authorization is required, we will submit the prior authorization. And if it is not required, we still have to look at medical necessity, even if prior authorization is not required, we will still look at it, and we will check the documentation to see whether medical necessity is being met for that particular HCPCS code, and we will also check same and similar, and whatever reference number we get from the payer, we will save that with us, and after that we will bill that particular code, the HCPCS code, with the ICD code, on the claim form after delivery, and then we will re-verify with the patient, we will go on creating a whole recurring pool, in case they need a resupply or there is some problem in their wheelchair, they need a new wheelchair or they need some wheelchair item replaced, then we will get it replaced and give it to them, if some recurring supply has to be given, a resupply has to go, then we will manage its whole cycle. Okay. Now in this slide we will try to understand operator lanes. Okay.

41:01Common mistakes and the offshore team's role

We will try to understand the dos and don'ts, what we have to do and what we do not have to do, and what the escalations are. Okay. So the back office, see, the 270 transactions and 271 transactions, the offices in Pakistan, India, Bangladesh, they will run the 270-271 transactions, they will run the 270 transaction, the 271 is the transaction that will come back to them, its information will come, the information of verification of benefits, and verification and benefits, they will go and check from the portal, they can also submit prior authorization, and besides that, the verification logs, they can manage those too.

What you must not do is this, that you confirm the item to your billing team, saying that it is active, and you have not checked whether that benefit is covered or not. You must not do this work. And besides that, to the patient you must not promise anything, you must not promise anything until you know the coordination and benefits, and until you know whether they have secondary insurance or not, you will not promise them anything. You will not have to give anything, you will not have to pay your responsibility, and you have to tell them their responsibility, and besides that, if from the US office, meaning the US side, you get some confirmation, saying go ahead and waive some insurance of the patient, then you promise the patient, but do not waive on your own. Check it. So basically this was our session today.

43:07Summary and what comes next

I hope you have understood these things very well, and your confusions are cleared, if any related to these slides and related to this session, you have any questions, and you also want to understand in detail, or you are a provider who wants to do your billing yourself or wants to get billing done by us, so you can contact us in the comment section. We have put all our handles there. You reach out to us and connect with us. We really enjoy working with providers and looking at their systems, auditing their systems, and giving them better and better options, so that their clean claim ratio gets better and better.

So this was our class today. Ansar, in the end would you like to say something? Yes, I just want to say this, that, God willing, in upcoming videos we will also talk about audits, the issues that come up, what things to take care of in an audit. We will make in-depth videos on that too, because it is a mistake most DMEs make, and they do not know in that situation what action to take. Absolutely, great. See, ideas are in abundance in my mind, and now my motivation is also slowly increasing, because messages are coming from people, calls are coming.

Yesterday also, after watching a video, a person came to meet me, he came from Chicago to Karachi. He said that I want to meet you, and I felt very good meeting him. I did not know that to make YouTube videos you have to put in this much time, because I look at YouTubers and now I think, how do they find so much time, because to get one whole particular topic ready, you have to make its slides, it takes time, then you have to prepare fully, how you have to pitch it, how to make it even easier that way.

So slowly I am getting a little life back, because right now, naturally, current projects are also running, I have to look after them, I have to look after the team too, all these things are also there. But, God willing, what I am thinking, and what is in my mind, is exactly this, that I will not stop this series as long as I am alive, and I will keep running courses, because this is only the start, you could say. The fun, God willing, will come to you later, when this seventeen-hour course of ours is roughly finished, and after that the advanced course will start, and then this is only one segment right now.

This is only one specialty, the DMEPOS provider. Besides that there is home health agency, high-complexity lab, besides that there are many specialties, including mental health and cardiologist. There are many specialties, and then their billing, but explaining their billing to you will not be that difficult, because your basics will be so strong by then that you will only have to understand the Local Coverage Determination and the National Coverage Determination, and payer-specific rules, and compliance, after that, because you will have understood the basic things, it will not be that difficult for you.

My idea is that we cover complete revenue cycle management, and along with it, the most important segment in it, in which the provider needs the most, a provider needs marketing even more than billing, so that they get referrals, so that they get work. So, God willing, I intend to make a whole course on its marketing, and it sells a lot, it gets the most inquiries, and it also takes time to maintain their proposals. Right now a prospect is also in progress to whom a proposal has been given, and there are meetings with them, so yes, God willing, we will keep making time for videos and for the course.

And just as I had promised you all before, that even if only one subscriber is watching our videos, I will still continue it, God willing, as long as I am in this industry and alive, because I have no news of tomorrow, and we pray to Allah the Almighty that Allah the Almighty blesses our work and grants us the ability to earn halal and pure provision. The Messenger of Allah, peace be upon him, used to make a supplication after the Fajr prayer, O Allah, I ask You for beneficial knowledge, good provision, and accepted deeds.

Correct. So with that we conclude, in the name of Allah, and Muhammad, peace be upon him, and God willing, we will meet you soon in the next video and the next topic, and if you are watching this video until the end, it means you enjoyed it, and if you enjoyed it, then do leave a small comment, it brings joy, it gives us new life. Assalamu alaikum and the mercy and blessings of Allah.