CodeMap® 
150 North Wacker Drive
Suite 2360
Chicago, IL 60606
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


User Information

Create New Account

Lost Password

Username:
Password:


Quick Links

LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2025
2024
QW Tests

Physician Fee Schedule

2025
2024

OPPS Fee Schedule

2025-January
2024-October

ASC Fee Schedule

2025-January
2024-October

APC Codes

2025-January
2024-October

DRG Codes

2025
2024

ASP Drug Pricing Files

2025-January
2024-October


CMS Transmittals



.


CodeMap Compliance Briefing: 03/11/05


Editor's Welcome:

 

CMS has come up with the perfect name for its newest type of automatic claim edit, the Medically Unbelievable Edit (MUE). Since these new edits will be published on April 1st, there was some suspicion that an April Fool's joke might be involved. However, CMS is very serious about this addition to the CCI edit system as we will explain below. By the way, we can't wait for future refinements to the system including SUEs (somewhat unbelievable edits) and RUEs (really unbelievable edits). 

As always, feel free to reply to this email with questions or concerns.

Sincerely,

Charles Root, Ph.D.

Medically Unbelievable Edits

Background: In an effort to lower the Medicare claims error rate, CMS is establishing unit-of-service edits referred to as Medically Unbelievable Edits (MUEs). A MUE is defined as an edit that tests a claim for the same beneficiary, HCPCS code, date of service, and....

Sorry, the full document you are trying to access requires an active subscription.

Please login to the left.


Click here for publications catalog.

--

CodeMap® is a Registered Trademark of Wheaton Partners, LLC.