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

How the June 2025 MedPAC Report Shapes the Future of HME thumbnail How the June 2025 MedPAC Report Shapes the Future of HME The June 2025 Report to Congress from the Medicare Payment Advisory Commission (MedPAC) offers critical insights into the evolving landscape of Medicare services. While the report does not focus exclusively on home medical equipment (HME) or durable medical equipment (DME), several areas touch on themes that are highly relevant to the industry's future—particularly around home health care, Medicare Advantage (MA), and supplemental benefits. Balancing Costs and Growth: Williams Bros.' Strategies for Success thumbnail Balancing Costs and Growth: Williams Bros.' Strategies for Success Williams Bros. has been adept at managing the complexities of business expenses, improving margins, and mitigating lost opportunities. Navigating the New CMS Landscape with the HMV and RAD Decision Memo for COPD thumbnail Navigating the New CMS Landscape with the HMV and RAD Decision Memo for COPD Ronda Buhrmester, Sr. Director of Payer Relations and Reimbursement, shares insights on the newly finalized National Coverage Determination (NCD) for home mechanical ventilation (HMV) and respiratory assist devices (RAD). Balancing Costs and Growth: Williams Bros.' Strategies for Success thumbnail Balancing Costs and Growth: Williams Bros.' Strategies for Success Williams Bros. has been adept at managing the complexities of business expenses, improving margins, and mitigating lost opportunities. Balancing Costs and Growth: Williams Bros.' Strategies for Success thumbnail Balancing Costs and Growth: Williams Bros.' Strategies for Success Williams Bros. has been adept at managing the complexities of business expenses, improving margins, and mitigating lost opportunities. So Everybody Can Move Team Iowa thumbnail So Everybody Can Move Team Iowa Movement is Medicine— and a right, not a privilege. Our grassroots campaign in Iowa is dedicated to ensuring that prosthetic and orthotic devices for physical activity are recognized as medically necessary and covered by insurance. Protecting Patient Data: Proactive Cybersecurity Essentials for DMEPOS and Home Access Providers thumbnail Protecting Patient Data: Proactive Cybersecurity Essentials for DMEPOS and Home Access Providers Cybercriminals are increasingly targeting healthcare-adjacent organizations, and vulnerabilities in our systems can no longer be ignored. Tenacity, Trailblazing, & Tech: Robin Menchen's Vision for Future of HME thumbnail Tenacity, Trailblazing, & Tech: Robin Menchen's Vision for Future of HME Robin Menchen, the 2025 HME Woman of the Year, shares her advice to other aspiring leaders in the HME industry: Adopt a can-do attitude.

Give your business an advantage over the competition.

Become a Member