The Centers for Medicare and Medicaid Services (CMS) recently proposed a massive CPT coding edit, placing stringent caps on the units of service that can be provided to patients for pathology and ...
CMS has published online most of the edits utilized in its Medically Unlikely Edit (MUE) program to improve the accuracy of claims payments for Medicare Part B services. These edits, applied during ...
The Centers for Medicare and Medicaid Services has issued Transmittal 617, which revises the use of medically unlikely edits, specifically modifier -55 (postoperative management only). Transmittal 617 ...
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