tci Part B Insider - 2006 Issue 12

PHYSICIAN NOTES: CMS Will Allow Second Round Of MUE Comments

'Medically unbelievable' edits shouldn't cramp your style You may be able to use a modifier to override the new “medically unbelievable” edits (MUEs), the Centers for Medicare & Medicaid Services says in a statement. The MUEs are just supposed to prevent “obviously erroneous” claims, and aren’t intended to be a new payment policy, CMS insists. CMS will work with providers to develop the statistical basis of these edits, and may let you override them for “clinical outliers.” CMS may also provide an appeals process if you receive an MUE-related denial. CMS announced that the...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.