tci Medicare Compliance & Reimbursement - 2013 Issue 9
Denials Management: Don't Let MUEs Sabotage Your Claims
Use these 4 tips to appeal denials successfully Medically unlikely edits (MUE) are designed to prevent overpayments caused by gross billing errors, such as anatomical impossibilities. Ensure you’re not letting MUEs cost your practice money by following four tips about these edits. Get to Know What MUE Edits Mean While you shouldn’t stress too much, any practice filing a claim with Medicare should know what MUEs are and how they work. "They limit the frequency a CPT® code can be used," says Chandra L. Hines, practice supervisor of Wake Specialty Physicians in Raleigh, NC. "We need...
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