AMA CPT® Assistant - 2006 Issue 12 (December)

Medically Unlikely Edits (MUEs) (December 2006)

December 2006 page 15 Medically Unlikely Edits (MUEs) Question I have been hearing about a new set of CMS edits called MUEs? What are they and when will they be implemented? AMA Comment The Centers for Medicare and Medicaid Services (CMS) will be implementing a new program of edits on January 1, 2007. The Medically Unlikely Edits (MUEs), previously known as the Medically Unbelievable Edits, are units of service edits that reflect the maximum number of units of service that a provider might report for the same HCPCS/CPT code for the same beneficiary on the same date of service...

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