Advanced Search

Medicare Compliance & Reimbursement

Compliance:

New Screening Edits Aim to Catch MUE Dodges

Published on Tue Aug 19, 2014

 Bilateral procedures are in CMS’ crosshairs. The Centers for Medicare & Medicaid Services (CMS) is keeping an eye out for coders’ attempts to bypass the medically unlikely edits (MUEs) for bilateral procedures by using the RT and LT modifiers (or separate line items with no modifiers at all) to avoid edits on modifier 50. CMS will institute new screening edits [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Medicare Compliance & Reimbursement

View All