Home health and lab services remain high on the improper payment rate spectrum. Claims reviews like the CERT report spotlight the negatives. But, the data shows that Medicare providers and suppliers are working hard to eradicate their coding and billing issues. Review: With about 90.5 percent of payments properly paid in 2017, CMS's new Comprehensive Error Rate Testing (CERT) results underline that some claims compliance progress was made last year. However the outcome held few surprises with DMEPOS sliding into first place with a 44.6 percent error rate (down from 46.3 percent in 2016) while Part A (without hospital IPPS) came in second at 11. 3 percent (down from 14.0 percent last year). Part B rounded out the trio with 10.2 percent improper payment rate (a decrease from 11.7 percent the year before) and in fourth was Part A (with IPPS) at 3.9 percent. The grand total of approximately $36.2 billion in projected improper payments across all four claims types is a decrease from FY 2016's total of $41.1 billion. Here's a short list of the four services with the highest improper payment rates by Medicare category, according to the latest CERT report: