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CMS announces change to Medicare claims editing program

February 7, 2013

The Centers for Medicare & Medicaid Services yesterday notified AHA of a change to the Medicare Medically Unlikely Edits program, which works to reduce the error rate for Part B claims paid by Medicare. Under the change, CMS will begin converting some MUEs from claim line edits to date of service edits. Hospital claims processing staff are encouraged to review the announcement to avoid claim denials due to the change.