CMS developed medically unlikely edits (MUES) to prevent providers from billing units of service greater than the norm would indicate. These MUES were implemented on January 1, 2007, and are applied to which code set?

A. ICD-10-PCS codes
B. HCPCS/CPT codes
C. ICD-10-CM codes
D. LOINC

Question

21-07-2024
Medicine

Answered

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CMS developed medically unlikely edits (MUES) to prevent providers from billing units of service greater than the norm would indicate. These MUES were implemented on January 1, 2007, and are applied to which code set?

A. ICD-10-PCS codes
B. HCPCS/CPT codes
C. ICD-10-CM codes
D. LOINC

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GinnyAnsweridn GinnyAnsweridn · Answer 1 · 2024-07-21T11:10:25-04:00

Final answer:

Medically Unlikely Edits (MUEs) prevent billing units greater than the norm by applying restrictions to HCPCS/CPT codes.

Explanation:

Medically Unlikely Edits (MUEs) were developed by CMS to prevent providers from billing units of service greater than the norm. These MUEs were implemented on January 1, 2007, and are applied to HCPCS/CPT codes.

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