What are Medically Unlikely Edits (MUEs)?
Medically Unlikely Edits (MUEs) are a cost saver for insurance companies, but for providers, they can be a bane to fitters and billers alike. What exactly are Medically Unlikely Edits (MUEs) and why do we need to stay on top of there numbers? Originally, CMS developed Medically Unlikely Edits (MUEs) on January 1, 200,7 to reduce the paid claims error rate for Part B claims. MUEs are applicable to Carriers, Fiscal Intermediaries, and DME MAC. An …