tci Medicare Compliance & Reimbursement - 2006 Issue 44

MUEs ~ Anatomic Edits Will Be The First To Take Effect In January

The 'unlikely' will definitely happen -- will you be ready? Brace yourself: Beginning in January 2007, you'll have to contend with a new set of coding "edits" -- separate from the already-established Correct Coding Initiative (CCI) edits -- from Medicare. If the edits function as intended, however, you should find them more a help than a hindrance to your practice.The new "Medically Unlikely Edits" (MUEs) are an undated and refined version of the "Medically Unbelievable Edits" that the Centers for Medicare & Medicaid Services (CMS) initially proposed -- and then, due to provider concerns, withdrew -- in 2005...

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