tci Medicare Compliance & Reimbursement - 2006 Issue 14

CMS: 'Medically Unbelievable' Edits Go Beyond CMS Mission

PPAC wants CMS to withdraw MUEs. The Centers for Medicare & Medicaid Services seemed to have given up on the idea of "medically unbelievable" edits last year. But now the MUEs are back ...quot; and they could be taxing providers beyond belief. CMS sent a draft of the MUEs to the specialty societies back in January, giving them two months to comment. But the draft of the edits was so cumbersome that the societies requested more time to comment ...quot; and CMS officials tell Eli that the agency is going back to the drawing board. A new...

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