How To Tackle Improper Payment Rates?

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How to Tackle Improper Payment Rates?
According to CERT (Comprehensive Error Rate Testing) data, the DME billing landscape witnesses an inadequate payment rate of approximately 39.9% that drains out USD 3.2 Billion from the Medicare Fund every year. This error rate is three times higher than the overall National Medicare improper rate, which is currently pegged at 12.1%

The above statistics assert that it has become critical to figure out the principal reasons behind this improper payment rate, and accordingly layout effective measures to reduce this figure. But first, let’s highlight the reasons for this anomaly:-
1. Incomplete Documentation
2. Medical Necessity Denials
3. Inappropriate Usage of Modifier
4. Coding Errors

How to Overcome These Challenges?

Prompt and Accurate Insurance Verification
Document With Care
Avoid Insufficient Documentation
Confirm Medical Necessity