tci General Surgery Coding Alert - 2013 Issue 7

Unit Edits: Learn These 4 Tips to Overcome General Surgery

Sometimes you can override edits or appeal claims. If you get claims denials for your general surgeon’s work based on CMS’s medically unlikely edits (MUEs), do you just sit down and take it? We have expert tips to help you fight back. Read on to learn when to stop at the MUE limit, and when and how you can hurdle over an MUE obstacle to capture all the pay you deserve. Tip 1: Grasp The MUE Program MUEs “limit the frequency a CPT® code can be used,” for one patient on one date, explainsChandra L...

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