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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.
(See separate FAQ #2277 for guidance on reporting medically reasonable and necessary services in excess of an MUE value.) If an MUE is adjudicated as a claim line edit or a date of service edit, UOS in excess of the MUE value may be paid during the appeal process.