Targeted Probe and Education (TPE) Reviews - Noridian reviews used to help improve a supplier's claim payment error rate and reduce the volume of appeals through claim review and education

Service Specific Post-Payment Reviews - Noridian has no current active Post-Payment Reviews

Service Specific Pre-Payment Reviews - Noridian has no current active Service Specific Pre-Payment Reviews

Supplier compliance results for all TPE reviews completed from October 1, 2019 – December 31, 2019, included:

• 10-claim preview - 11% compliance
• Round 1 - 44% compliance
• Round 2 - 75% compliance
• Round 3 - 50% compliance
  • CMS referral - 27%

Review Criteria	Current Error Rate	Current Review Results
Ankle Foot/Knee-Ankle-Foot Orthosis (AFO/KAFO) TPE Reviews	27%	View Results
Diabetic Supplies TPE Reviews	57%	View Results
Enteral Nutrition TPE Reviews	22%	View Results
Hospital Bed TPE Reviews	47%	View Results
Immunosuppressive Drug TPE Reviews	21%	View Results
Knee Orthosis TPE Reviews	35%	View Results
Manual Wheelchair TPE Reviews	19%	View Results
Oral Anticancer Drugs TPE Reviews	46%	View Results
Ostomy TPE Reviews	10%	View Results
Oxygen TPE Reviews	25%	View Results
Positive Airway Pressure (PAP) TPE Reviews	10%	View Results
Respiratory Assist Devices TPE Reviews	10%	View Results
Spinal Orthoses: TLSO and LSO TPE Reviews	40%	View Results
Surgical Dressing TPE Reviews	66%	View Results
Therapeutic Shoe TPE Reviews	48%	View Results
Urological Supplies TPE Reviews	31%	View Results