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This article discusses the denial of Medicare claims through two Medicare programs: Medically. Unlikely Edits (MUE) and Recovery Audit Contractor (RAC) programs. MUEs are a maximum. number of units that a provider would likely report under most circumstances for a single. beneficiary on a single date of service.
Mull v. Motion Picture Ind. Health Plan educates employers on the basics of the requirements of the Employee Retirement Income Security Act (ERISA) governing plan documents and summary plan descriptions. The lessons are sobering, particularly as they relate to group health plans.