Medical Billers and Coders

  Improper Payment Reasons Durable Medical Equipment (DME) suppliers of surgical dressings and physicians submit claims for surgical dressings and CMS covers it under the surgical dressings benefit i.e., SSA Section 1861[s][5]. CMS recently published Medicare Fee-for-Service (FFS) improper Medicare payments rate for surgical dressings for the 2020 reporting period. For this reporting period, the improper payment rate for surgical dressings was 67.3 percent, with a projected improper payment amount of over $194.9 million. For the 2020 reporting period, insufficient documentation accounted for 82.4 percent of improper Medicare payments for surgical dressings. Additional types of errors for surgical dressings in the 2020 reporting period were no documentation (1.9 percent), medical necessity (1.7 percent), incorrect coding (1.9 percent), and other (12.2 percent).  Avoiding Improper Medicare Payments All claims billed to Medicare require a written order or prescription from the treati

Durable medical equipment billing is that the process by which insurance companies are charged for the services provided to their clients. And in order to achieve the complete reimbursement dollars billing codes that represent different aspects of the DME process are implemented. The characters, the biller enters relate to different aspects of a diagnosis or procedure and permit the information to be uploaded for billing without having to physically define either diagnosis or procedure. This allows the method to be implemented faster without having to explain everything intimately. When we mention specialization consideration in DME suppliers' one specialty that always crosses the supplier's way is Orthopedics. Orthopedic facilities often provide patients with supplies, such as casting and canes, which are integral to patients' treatment plans. What DME supplies are often used for orthopedic treatment and the way to charge for them? The Current Terminology Codes (CPT) publ