tci General Surgery Coding Alert - 2010 Issue 12

Denials Management: Bust 4 Common Myths to Overcome MUE Denial Challenges

Ignore medically unlikely edits at your peril for claim rejection. Medicare denials could mean you're running up against medically unlikely edits (MUEs). Designed to prevent overpayments caused by gross billing errors (usually a result of clerical or billing systems' mistakes), MUEs often confuse even veteran coders. Ensure you're not letting MUEs wreak havoc on your practice's coding and reimbursement by uncovering the truth about four aspects of these edits. Myth 1: MUE Edits Don't Affect Your Practice Some practices feel that they don't need to worry about MUEs. Reality: Any practice filing a claim with Medicare should know what...

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