TITLE

Bust 4 Common Myths to Overcome MUE Denial Challenges

PUB. DATE
December 2010
SOURCE
General Surgery Coding Alert;Dec2010, Vol. 12 Issue 12, p92
SOURCE TYPE
Periodical
DOC. TYPE
Article
ABSTRACT
The article presents common myths to address in order to overcome medically unlikely edit (MUE) denial challenges in Medicare. Jillian Harrington of ComplyCode states that advance beneficiary notice (ABN) cannot be used to transfer payment responsibilities to the beneficiary. It says that one cannot override MUEs even the physician conducts a legitimate and medically necessary procedure that infracts MUE edits. It adds that one can appeal the claim if he receives a claim denial due to MUEs.
ACCESSION #
56551295

 

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