CMS calculates a national Medicare FFS improper payment rate by the claims type and publishes the results in an annual report. This report helps CMS determine which area of coverage is most commonly billed or documented incorrectly to create materials that help in addressing those challenges for billers.
The CERT or comprehensive error testing program has been developed to produce a national Medicare Fee for Service Improper payment rate.
With the latest improper payment rate amounting to almost $3.7 million, for the power mobility devices, with majority claims rejected due to errors in documentation and medical necessity, it becomes that as a provider you have the right provisions in place with your HME billing.
A patient has to meet all general coverage criteria to satisfy all the medical necessity requirements. A complete team of dedicated experts is the way forward to finding a streamlined solution for your HME billing activities.
What will you look for in an HME billing partner?
A quality HME billing company will be far ahead in understanding how to handle all the front desk work, offer streamlined support in post billing activities in extends assistance in recovering your aging accounts.
They understand what works best for you, offer you a complete action plan that improves your process of reimbursements and helps you reduce your costs of operations in a synchronized manner.
It gives the much-needed boost to your financial cycle, eliminates process errors that were delaying your flow of money coming to your system, and generate better opportunities for growth in the best possible manner. It helps you in eradicating challenges with the help of a specialized team that elevates your revenue cycle management experience in the best possible manner.
Compliance with PHI
Handling your Patient information with 100% HIPAA compliance, delivering references to prove how your HME billing partner is working with other clients will be a handy way to understand and do a SWAT assessment. A reliable team will take pride in its versatility, compliance, and state of the art processes that transform your collections.
To conclude, a proper HME billing partner will be flexible, offer you seamless standards of communication, great ability to work with a number of payers, and work as an extension of your operational best practices. It makes your job as a provider easier helping you expand your patient care in the best possible manner.
Sunknowledge Services Inc. – an ISO 27001:2022 certified, American-owned & operated company, headquartered in New York City – is a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.
