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MUE (Medically unlikely edits)

Modified: 4/30/2024
CMS implemented Medically Unlikely Edits (MUEs) to reduce paid claim errors. An MUE is the maximum units of service a provider would report under most circumstances for a single beneficiary on a single date of service. This webpage contains links to MUE FAQs, MUE files and most aspects of the MUE program.
Modified: 12/1/2024
First Coast wants you to prevent claim denials or appeals by coding the appropriate number of units correctly the first time.
Modified: 7/15/2024
Follow this link to view frequently-asked questions pertaining to medically unlikely edits.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.