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If underpayments are an issue bogging down your facility, it would be prudent for you to take a look at internal processes and review your record keeping. The realities of the situation suggest that prevention is your best strategy. Submitting clean claims should be your number one strategy in reducing underpayments. Make sure that you are keeping detailed records and advancing solid information and that your facility has well-established criteria for maintenance of records to support a claim going in.