MUE (Medically unlikely edits)
Modified: 9/13/2017
The Centers for Medicare & Medicaid Services (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. Webpage contains links to MUE FAQs, MUE files and most aspects of the MUE program.
Modified: 9/8/2017
Follow this link to view frequently-asked questions pertaining to medically unlikely edits.
Modified: 6/5/2017
The Centers for Medicare & Medicaid Services (CMS) implemented date of service (DOS) medical unlikely edits (MUEs), maintained by the National Correct Coding Initiative (NCCI), for some codes effective April 1, 2013. Follow this link to view a frequently-asked question addressing this change.
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