Other CMS and OIG Issuances
Medicare Weekly Update, November 13, 2007
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CMS Frequently Asked Questions
On November 7, CMS issued the following FAQs (the questions are reprinted verbatim from the CMS Web site):
- Will CMS implement Medically Unlikely Edits (MUEs) for additional Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) codes? (view)
- Has CMS published the Medically Unlikely Edit (MUE) levels for Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) codes? (view)
- How do I make an inquiry about the Medically Unlikely Edit (MUE) program other than about MUE levels for specific Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) codes? (view)
- How do I request a change in the Medically Unlikely Edit (MUE) value for a Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) code? (view)
- How were Medically Unlikely Edits (MUEs) developed? (view)
- How are claim lines adjudicated against a Medically Unlikely Edits (MUE) for a repetitive service reported on a single claim line? (view)
- Is there an appeal process for claim lines denied based on Medically Unlikely Edits (MUEs)? (view)
- How are claims adjudicated with Medically Unlikely Edits (MUEs)? (view)
- What is the CMS Medically Unlikely Edit (MUE) program? (view)
- What is a Medically Unlikely Edit (MUE)? (view)
- How do I report medically reasonable and necessary units of service in excess of a Medically Unlikely Edit (MUE)? (view)
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