CEO SUMMARY: On January 1, 2009, CMS implemented Phase VIII of its policy on medically unlikely edits (MUEs) involving about 100 laboratory CPT Codes. It also began to deny whole claims, not just the “medically unlikely” parts of claims. After hearing of the problem in early March, ACLA, CAP, and other lab groups stepped in […]
Medically Unlikely Edits Are Back–and a Problem!
CMS instituted 100 new MUEs on January 1, then carriers began rejecting laboratory claims
- By Robert Michel
- > From the Volume XVI No. 5 - April 6, 2009 Issue
- Tags: acla, american clinical lab, american clinical laboratory, cap, clinical lab, Clinical Laboratory, cpt, cpt code, dark report, diagnosis code, histochemistry, Histology, ihc test, lab industry, laboratories, laboratory association, laboratory cpt codes, laboratory organization, laboratory organizations, Medicare, NY labs, pathologists, surgical pathology, the dark report, the laboratory
