DecisionHealth, DecisionHealth - 2014 Issue 8 (August)

Medicare’s new medically unlikely edits for primary care doctors’ top-billed codes

For your reference, here are the MUEs that took effect July 1 that affect primary care practices the most. As you can see, CMS has expanded its presentation of these edits. MUEs limit the number of units of service for which a code may be billed by a provider for the same patient during one calendar day.

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