tci Part B Insider - 2010 Issue 35

Part B Mythbuster: Overcome Medically-Unlikely Edit Denial Challenges by Busting 4 Myths

If you ignore the medically unlikely edits, you're asking for a denial.If you're receiving denials from Medicare, one possibility is that you're running up against medically unlikely edits (MUEs). The edits, which are designed to prevent overpayments caused by gross billing errors, usually a result of clerical or billing systems' mistakes, often confuse even veteran coders.Ensure you're not letting MUEs wreak havoc on your urology 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...

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