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Control Number MO P092 PKG Form

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welcome to this tutorial on the Medicare call editor MCE overview the information given in this training is correct as of the day of publication the most current information contained in this presentation can be found on the Meridian Medicare website and the CMS website at the links listed on this slide the MCE is the inpatient co-editor used to detect claim errors based on the coding listed on the claims submitted to Medicare the MCE manual is located in the 2023 fiscal year inpatient prospective payment system ipps final rule on the CMS web page it lists each of the edit code requirements CMS uses to avoid inappropriate payment on inpatient claims updates are made to the MCE on a quarterly basis and CMS publishes a comparison document which lists the quarterly changes made to the original MCE manual for the specific year the MCE is split into sections listing information on each edit code list the first section is invalid diagnosis or procedure codes in this edit ensures the ICD-10 c

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