Starting January 1, 2007, local Medicare contractors are to implement the first round of "medically unlikely" edits (MUEs)—the new name for the old "medically unbelievable" edits. MUEs are limits on the units of service that a healthcare provider can bill a particular CPT/HCPCS code per Medicare beneficiary per day. Claims exceeding the limits will be automatically denied.

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August 14, 2006 - Table of Contents

NIR August 14, 2006 (full PDF issue)

Medicare Lab Bidding Demo Set for April ’07 Launch

MD Specialties Aim for More Pathology Revenue

Medicare to Require Uniform Quality, E-Health Standards

Labs Included in Final E-Health Safe Harbors

Physician Specialties Gobble Up More of the Pathology Pie

CMS to Contractors: Get Ready for ‘Medically Unlikely’ Edits

1st Contract Awarded for Combined Part A/B Claims Processing

Medicare Hikes Inpatient PPS Rates, Starts DRG Changes

Deductible to Be Waived for Colorectal Cancer Screening