Medical Coding

Category - Compliance and Regulatory

What are Medically Unlikely Edits (MUEs)?
  1. Units of service edits created by CMS to lower the Medicare Fee-For-Service paid claims error rate
  2. Codes that cannot be reported together because they are mutually exclusive of each other
  3. “Add-on” codes that describe a service that can only be reported with another service listed as the primary code
  4. Misuse of column two codes with column one codes
Explanation
Answer: A - Medically Unlikely Edits (MUEs) are considered to be units of service edits created by CMS to lower the Medicare Fee-For-Service Paid Claims Error Rate.
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