medically unlikely edits (MUEs)

Medicare frequency edits that limit the number of units of service (UOS) that a provider may bill for certain HCPCS/CPT codes on an insurance claim for the same beneficiary on the same date of service. MUEs were developed to catch errors and prevent inappropriate payments and are applied to each line of the claim. Thus the entire claim is not denied, and the provider only appeals the denied codes.

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