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 | 25 Years of Community thumbnail VGM Heartland Conference 2026 | 25 Years of Community Relive Heartland Conference 2026 as the HME, CRT, and home access communities celebrated 25 years of connection, education, community, and inspiration. VGM Heartland Conference 2026 | 25 Years of Community thumbnail VGM Heartland Conference 2026 | 25 Years of Community Relive Heartland Conference 2026 as the HME, CRT, and home access communities celebrated 25 years of connection, education, community, and inspiration. CRT Repair Documentation & Prior Authorization Challenges thumbnail CRT Repair Documentation & Prior Authorization Challenges U.S. Rehab training programs and industry experts help providers improve CRT repair documentation, billing, & prior authorization. Leveling the Playing Field for CRT, O&P, Home Access Providers thumbnail Leveling the Playing Field for CRT, O&P, Home Access Providers VGM experts support CRT, O&P, and home access providers with guidance, workforce solutions, and strategies to reduce friction and scale. Leveling the Playing Field for O&P, CRT, Home Access Providers thumbnail Leveling the Playing Field for O&P, CRT, Home Access Providers VGM experts support CRT, O&P, and home access providers with guidance, workforce solutions, and strategies to reduce friction and scale. Leveling the Playing Field for Home Access, CRT, O&P Providers thumbnail Leveling the Playing Field for Home Access, CRT, O&P Providers VGM experts support CRT, O&P, and home access providers with guidance, workforce solutions, and strategies to reduce friction and scale. Virtual Patient Setup in Sleep Therapy: Access Without Barriers thumbnail Virtual Patient Setup in Sleep Therapy: Access Without Barriers Learn how virtual patient setup improves sleep therapy onboarding, expands access, saves clinician time, and creates a consistent, patient-friendly start. DMEPOS Accreditation Guide from VGM thumbnail DMEPOS Accreditation Guide from VGM Simplify accreditation with VGM's accreditation guide that includes a 90-day plan, checklists, and tools to improve DMEPOS compliance and readiness.

Give your business an advantage over the competition.

Become a Member