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Medicare Compliance & Reimbursement

Compliance:

New Screening Edits Aim to Catch MUE Dodges

Published on Tue Aug 19, 2014

 Bilateral procedures are in CMS’ crosshairs. The Centers for Medicare & Medicaid Services (CMS) is keeping an eye out for coders’ attempts to bypass the medically unlikely edits (MUEs) for bilateral procedures by using the RT and LT modifiers (or separate line items with no modifiers at all) to avoid edits on modifier 50. CMS will institute new screening edits [...]
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