DecisionHealth, DecisionHealth - 2015 Issue 4 (April)
Medically unlikely edits: More than 130 codes have new daily limits, but practices can appeal denials
Don’t forget to revise your billing system and remind staff to watch for reporting limits on services and supplies — such as fluid drainage and tendon sheath injections –added to the list of medically unlikely edits (MUEs) that takes effect April 1. By doing so, you’ll avoid claims mistakes that will require an appeal that clearly demonstrates the medical necessity of services that exceed Medicare’s limits.
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