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 51%
Diabetic Supplies TPE Reviews 37%
Enteral Nutrition TPE Reviews 11%
Hospital Bed TPE Reviews 72%
Immunosuppressive Drug TPE Reviews 17%
Knee Orthosis TPE Reviews 48%
Manual Wheelchairs TPE Reviews 16%
Nebulizer TPE Reviews 19%
Oral Anticancer Drugs TPE Reviews 55%
Ostomy TPE Reviews 14%
Oxygen TPE Reviews 25%
Parenteral Nutrition TPE Review 58%
Positive Airway Pressure (PAP) TPE Reviews 22%
Spinal Orthoses: TLSO and LSO TPE Reviews 26%
Surgical Dressing TPE Reviews 46%
Therapeutic Shoes TPE Reviews 46%
Urological Supplies TPE Reviews 37%

 

Last Updated Dec 12, 2019