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DME Billing: Solving The Improper Payment Rate Puzzle

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  According to recent CERT data, the DME billing space has a 39.9% improper payment rate, draining $3.2 billion from the Medicare Trust Fund each year. This error rate is three times higher than the current national Medicare wrong payment rate of 12.1%. What is the simplest way to avoid this industry’s baggage and ensure you receive maximum reimbursements every time? Providing clean paperwork and documentation is critical to avoid mistakes and reduce improper payment. To ensure error-free submissions, the medical billing team must avoid common causes of improper payments, such as inadequate documentation, insufficient documentation (required to make informed decisions), or incorrect coding. Examine the following practical methods for lowering improper payment rates in DME billing . Ensure Complete Documentation Documentation is essential for accurate DME billing; good documentation is strategic. A detailed narrative is provided by accurate and complete patient documentation and usi...