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Bookmark or Share- Revised Modification to the Medically Unlikely Edit (MUE) ProgramEdit (MUE) program on January 1, 2007, to reduce the Medicare Part B paid claims error rate. At the onset or implementation of the MUE Program, regarding the adjudication process, the MUE value for a Healthcare Common Procedure Coding System (HCPCS) code was only adjudicated against the units of service (UOS) reported on each line of a claim.
- Medicare NCCI Medically Unlikely Edits | CMSAn MUE is the maximum units of service (UOS) reported for a HCPCS/CPT code on the vast majority of appropriately reported claims by the same provider/supplier for the same beneficiary on the same date of service.
- Medically Unlikely Edits (MUEs) - Centers for Medicare & Medicaid Services• An MUE is defined as an edit that tests claim lines for the same beneficiary, Health Care Common Procedure Code System (HCPCS) code, date of service, and billing provider against a criteria number of units of service.
- Medicare NCCI FAQ Library | CMS2. What is a Medically Unlikely Edit (MUE)? An MUE is a unit of service edit for a Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) code for services rendered by a single provider/supplier to a single beneficiary on the same date of service.
- NATIONAL CORRECT CODING INITIATIVE’S (NCCI) GENERAL CORRESPONDENCE ...The MUE for a HCPCS/CPT code is the maximum number of units of service (UOS) expected to be reported under most circumstances by the same provider for the same beneficiary on the same date of service.
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