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Medicare Compliance & Reimbursement

Reader Question:

Know This Important Fact on MUEs

Published on Thu Feb 17, 2022

Question: We mostly see Medicare Part B beneficiaries at our practice and understand that this means that we need to understand how medically unlikely edits (MUEs) apply to our claims. We wondered, are there any situations in which we can override an MUE? AAPC Forum Participant Answer: In certain scenarios, if the physician performs a legitimate, medically necessary procedure that violates MUE [...]
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