tci Part B Insider - 2006 Issue 11

EDITS: New Medicare Edits Go Beyond CMS Mission

Watch out for another layer of edits, coming soonThe Centers for Medicare & Medicaid Services seemed to have given up on the idea of "medically unbelievable" edits (MUEs) last year. (See PBI, Vol. 6, No. 11.) But now the MUEs are back--and they could be taxing you beyond belief. CMS sent a draft of the MUEs to the specialty societies back in January, giving them two months to comment. However, the draft of the edits was so burdensome that the societies requested more time to comment--and CMS officials tell PBI that the agency is going back to the...

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