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 61%
Enteral Nutrition TPE Reviews 53%
Hospital Bed TPE Reviews 72%
Immunosuppressive Drug TPE Reviews 39%
Knee Orthosis TPE Reviews 61%
Manual Wheelchairs TPE Reviews 58%
Nebulizer TPE Reviews 19%
Oral Anticancer Drugs TPE Reviews 23%
Ostomy TPE Reviews 20%
Oxygen TPE Reviews 45%
Parenteral Nutrition TPE Review 59%
Positive Airway Pressure (PAP) TPE Reviews 10%
Spinal Orthoses: TLSO and LSO TPE Reviews 51%
Surgical Dressing TPE Reviews 69%
Therapeutic Shoes TPE Reviews 36%
Urological Supplies TPE Reviews 36%

 

Last Updated Dec 31, 2018