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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.
Section 1867 of the Social Security Act imposes specific obligations on Medicare-participating hospitals that offer emergency services to provide a medical screening examination (MSE) when a request is made for examination or treatment for an emergency medical condition (EMC), including active labor, regardless of an individual's ability to pay.