-
Posting Date: 11/12/2021
Medically Unlikely Edits
Medically Unlikely Edits In January 2007, CMS developed MUEs to reduce the paid claims error rate for Part B claims. An MUE for a HCPCS /CPT code is the maximum units of service that a provider would report under most circumstances for a [...]
Read More -
Posting Date: 11/12/2021
Medicare Coverage Database
Medicare Coverage Database The Medicare Coverage Database is an administrative and educational tool to assist providers, physicians and suppliers in submitting correct claims for payment. The Medicare Coverage Database features LCDs developed [...]
Read More -
Posting Date: 11/12/2021
Medicare Electronic Data Interchange
Medicare Electronic Data Interchange Information about how providers can communicate electronically with the Medicare Program can be found on the CMS website at Medicare Electronic Billing & EDI Transactions. This web page contains EDI [...]
Read More -
Posting Date: 11/12/2021
Medicare Fraud and Abuse
Medicare Fraud and Abuse As the CMS MAC for J6 and JK, National Government Services fully supports the CMS initiative for program safeguards and shares the following information for your use: Fraud is the intentional deception or [...]
Read More