• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

MUE’s

Codinggma

Contributor
Messages
17
Can anyone share how their facility handles MUE’s with adjudication indicator 3? If you have supporting documentation for the excess units and submit a request for reconsideration, will Medicare at least pay the allowed units if they don’t feel your documentation supports the excess units? Example, J1930 billed with 180 units which is supported by the order, MAR and physician note documenting their clinical rationale ( prolong progression and add months to patient’s life) for 180mg’s. If they don’t accept this, will they pay for the allowed amount of 120 units or keep the denial for all units? MAC is Noridian. Trying to determine the best way to handle this, the patient will be coming in monthly for the injections.
 
Top