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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.
If the units of service (UOS) on the claim line exceeds the MUE value, all UOS for that claim line are denied. If the same code is reported on more than one line of a claim by using CPT modifiers, each line of the claim is adjudicated separately against the MUE value of the code on that claim line.