Medically Unlikely Edits – Hidden Audits

Internal Audits Medically Unlikely Edits are a cost saver for insurance companies, but for post-mastectomy providers, they can adversely affect quality care. What exactly are Medically Unlikely Edits (MUEs) and why do we need to stay on top of their numbers? Originally, the Centers for Medicare and Medicaid (CMS) developed Medically Unlikely Edits (MUEs) on (more…)