AHA Coding Clinic® for HCPCS - 2007 Issue 3; FOR your INFORMATION

Medically unlikely edits

CMS has established unit of service edits, titled Medically Unlikely Edits (MUE), to lower Medicare’s fee for service paid claims error rate. MUEs, which are housed by the National Correct Coding Initiative (NCCI) contractor, are defined as edits that check specific claim lines for the same beneficiary, HCPCS code, date of service, and billing provider against a predefined number of units of service. If a unit of service is reported in excess of the MUE criteria for that HCPCS code, Medicare contractors, specifically Carriers and MACs, will deny the entire claim line when the units of service are...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.


The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.