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

Review Criteria Current Error Rate Current Review Results
Ankle Foot/Knee-Ankle-Foot Orthosis (AFO/KAFO) TPE Reviews 19%
Diabetic Supplies TPE Reviews 76%
Enteral Nutrition TPE Reviews 87%
Hospital Bed TPE Reviews 14%
Immunosuppressive Drug TPE Reviews 9%
Knee Orthosis TPE Reviews 77%
Manual Wheelchair TPE Reviews 57%
Nebulizer TPE Reviews 3%
Oxygen TPE Reviews 32%
Positive Airway Pressure (PAP) TPE Reviews 3%
Spinal Orthoses: TLSO and LSO TPE Reviews 34%
Surgical Dressing TPE Reviews 80%
Therapeutic Shoe TPE Reviews 13%
Urological Supplies TPE Reviews 21%

Last Updated May 08, 2018