Most DME billing managers have run into this at least once: yo...
Most DME billing managers have run into this at least once: you check the CMS fee schedule before submitting a claim, the rate looks reasonable, and then the ERA comes back with a payment that doesn’t match. The problem usually isn’t a denial — it’s that the fee schedule number you pulled wasn’t the right one for your situation. https://nikohealth.com/medicare-dme-fee-schedule/
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