New Transmittal from CMS May Answer Some Remaining MUE Questions

11/21/2011

CMS released a transmittal on August 12, 2011 with instructions surrounding their medically unlikely edits (MUE), which are published quarterly. CMS instructs their shared systems maintainers to allow a value of “0” units to be assigned to an MUE. CMS is making this change to account for 25 codes that have been discontinued plus any codes for services that Medicare does not cover or discontinues coverage. CMS also provides further clarification and explanation of the MUEs in this transmittal.

Effective date: The effective date for MCS is January 1, 2012, and the effective date for VMS is April 1, 2012. FISS has already met the requirements for this CR.
Implementation date: The implementation date for MCS is January 3, 2012, and the implementation date for VMS is April 2, 2012. FISS has already met the requirements for this CR.

View CMS transmittal

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