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Medicare Compliance & Reimbursement

Medicare Regulations:

Don’t Use an ABN to Counteract a MUE

Published on Tue Dec 17, 2024

Question: Is it ever appropriate to fill out an advance beneficiary notice (ABN) form for a service that has already been denied due to a medically unlikely edit (MUE)? Texas Subscriber Answer: Probably not. An ABN should be used to alert a beneficiary that a service or item may not be covered by Medicare. And according to the Centers for [...]
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