DecisionHealth, DecisionHealth - 2025 Issue 6 (June)
Master medically unlikely edits to keep denials down
CMS developed medically unlikely edits (MUE) as a way to limit the number of times a particular service is allowed to be billed by a single provider to a single patient on a given date of service. Medicare began using these unit-of-service edits in 2007 in an effort to reduce payment errors for Medicare Part B claims.
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