tci General Surgery Coding Alert - 2011 Issue 7

Practice Management: Smash 4 Common Myths to Overcome MUE Claims Denials

Hint: You can't report more than 3 abdominal needle biopsies per day.If you're getting mystery Medicare denials, you could be running up against medically unlikely edits (MUEs). Designed to prevent overpayments caused by gross billing errors (usually a result of clerical or billing systems' mistakes), MUEs often confuse even veteran general surgery coders.Ensure you're not letting MUEs wreak havoc on your practice's coding and reimbursement by uncovering the truth about four aspects of these edits.Myth 1: MUE Edits Don't Affect Your PracticeSome practices feel that they don't need to worry about MUEs.Reality: Any practice filing...

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