Medical Record Review Results

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

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Review Criteria Current Error Rate Current Review Results
Ankle Foot/Knee-Ankle-Foot Orthosis (AFO/KAFO) TPE Reviews 21%
Diabetic Supplies TPE Reviews 74%
Enteral Nutrition TPE Reviews 30%
Hospital Bed TPE Reviews 50%
Immunosuppressive Drug TPE Reviews 21%
Knee Orthosis TPE Reviews 50%
Manual Wheelchair TPE Reviews 45%
Nebulizer TPE Reviews 18%
Oral Anticancer Drugs TPE Reviews 19%
Ostomy TPE Reviews 47%
Oxygen TPE Reviews 31%
Parenteral Nutrition 17%
Positive Airway Pressure (PAP) TPE Reviews 28%
Spinal Orthoses: TLSO and LSO TPE Reviews 56%
Surgical Dressing TPE Reviews 44%
Therapeutic Shoe TPE Reviews 38%
Urological Supplies TPE Reviews 29%

 

Last Updated Dec 13, 2019