________ is/are to prevent improper payments when services are reported with incorrect units of service.

Question

Quizplus · Accepted Answer

Medically Unlikely Edits (MUEs) are edits used by CMS to prevent improper payments when services are reported with incorrect units of service. MUEs define for each HCPCS/CPT code the maximum units of service that should be reported for a single beneficiary on a single date of service. If a provider submits a claim with a unit of service that exceeds the MUE for that code, the claim line will be denied.

________ Is/are to Prevent Improper Payments When Services Are Reported