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 34%
Diabetic Supplies TPE Reviews 71%
Enteral Nutrition TPE Reviews 12%
Hospital Bed TPE Reviews 37%
Immunosuppressive Drug TPE Reviews 17%
Knee Orthosis TPE Reviews 62%
Manual Wheelchair TPE Reviews 26%
Nebulizer TPE Reviews 18%
Oral Anticancer Drugs TPE Reviews 34%
Ostomy TPE Reviews 10%
Oxygen TPE Reviews 34%
Parenteral Nutrition 17%
Positive Airway Pressure (PAP) TPE Reviews 13%
Spinal Orthoses: TLSO and LSO TPE Reviews 63%
Surgical Dressing TPE Reviews 52%
Therapeutic Shoe TPE Reviews 49%
Urological Supplies TPE Reviews 30%

 

Last Updated Oct 22, 2019