VGM & ASSOCIATESHealthcare MSO

Jurisdictions B and C: Claim Payment Alert 151 MUE Incorrect Processing

Published in Member Communities on October 13, 2020

breaking news

CGS Administrators recently sent out a news alert for Jurisdictions B and C. They aware of a claim payment issue in which some claims may have applied Medically Unlikely Edit (MUE) values incorrectly on the dates September 23, 2020 and September 24, 2020 only. Claims may have paid or denied in error as a result. CGS is correcting this issue and has indicated that it is a number 1 priority with them.  For more information, watch Ronda’s vlog. To view CGS’s original announcement, click here.

TAGS

  1. billing & reimbursement

Get Connected

Stay up-to-date on the latest resources and news provided by VGM & Associates.

Sign Up for Email

From Our Experts

VGM Heartland Conference 2026 Call for Speakers Now Open thumbnail VGM Heartland Conference 2026 Call for Speakers Now Open VGM is now accepting proposals from prospective speakers for its annual Heartland Conference, taking place June 8-10, 2026. Proposals are due Dec. 15, 2025. Angie McClure Joins Leadership Team of VGM & Associates thumbnail Angie McClure Joins Leadership Team of VGM & Associates VGM & Associates is excited to announce that Angie McClure has joined the Corporate Accounts team as Senior Vice President of Corporate Accounts. Stakeholders ‘Set Tone' for CRT Priorities thumbnail Stakeholders ‘Set Tone' for CRT Priorities At the CRT Fly-In, stakeholders united to strengthen relationships with lawmakers, discuss key legislative priorities, & advocate for essential reforms in CRT. Wheelchair Seating Policy Specific ICD10 NO Longer Required thumbnail Wheelchair Seating Policy Specific ICD10 NO Longer Required Effective Oct. 1, 2025, Medicare removed the ICD-10 requirement for skin protection and positioning cushions and backs. Enhance HME Training with Microlearning Solutions thumbnail Enhance HME Training with Microlearning Solutions Discover how microlearning can transform training in the home medical equipment industry, improving compliance, engagement, and performance with VGM Education. CMS Proposed Rule: What It Means To O&P Providers thumbnail CMS Proposed Rule: What It Means To O&P Providers Watch this update from VGM's Melanie Ewald, VP of Payer Relations and Reimbursement, on the potential impact of the CMS proposed rule on O&P providers. Ronda's Reflections: Four Hot Topics Affecting the DME Industry thumbnail Ronda's Reflections: Four Hot Topics Affecting the DME Industry Read about upcoming NCD implementations, oxygen equipment audits, lymphedema compression garment compliance, and PTAN billing tips. A Letter from the President: Planning with Purpose thumbnail A Letter from the President: Planning with Purpose As we turn the calendar to October, I imagine many of you are taking a deep breath, looking at what's left of 2025, and asking, “How do we finish strong?”

Give your business an advantage over the competition.

Become a Member