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Non-Medical Record Review Notifications and Results

Non-Medical Record Reviews - Noridian reviews used to determine the extent of potential problem areas across multiple DME product classifications and monitor corrective action measures implemented to reduce improper payments.

Diabetic Supplies

Review Criteria Current Error Rate Service Specific Review Notification Current Review Results
A4253KS: BLOOD GLUCOSE TEST OR REAGENT STRIPS FOR HOME BLOOD GLUCOSE MONITOR, PER 50 STRIPS 55%  
A4253KX: BLOOD GLUCOSE TEST OR REAGENT STRIPS FOR HOME BLOOD GLUCOSE MONITOR, PER 50 STRIPS 56%  


External Infusion Pumps

Review Criteria Current Error Rate Service Specific Review Notification Current Review Results
E0781: AMBULATORY INFUSION PUMP, SINGLE OR MULTIPLE CHANNELS, ELECTRIC OR BATTERY OPERATED, WITH ADMINISTRATIVE EQUIPMENT, WORN BY PATIENT 33%
E0784: EXTERNAL AMBULATORY INFUSION PUMP, INSULIN 56%


Immunosuppressive Drugs

Review Criteria Current Error Rate Service Specific Review Notification Current Review Results
J7507: TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG 31%
J7517: MYCOPHENOLATE MOFETIL, ORAL, 250 MG 30%
J7518: MYCOPHENOLIC ACID, ORAL, 180 MG 31%
J7520: SIROLIMUS, ORAL, 1 MG 32%


Nebulizers

Review Criteria Current Error Rate Service Specific Review Notification Current Review Results
J7605: ARFORMOTEROL, INHALATION SOLUTION, FDA APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, 15 MICROGRAMS 10%  
J7626: BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG 17%  


Oxygen and Oxygen Equipment

Review Criteria Current Error Rate Service Specific Review Notification Current Review Results
E1390: OXYGEN CONCENTRATOR, SINGLE DELIVERY PORT, CAPABLE OF DELIVERING 85 PERCENT OR GREATER OXYGEN CONCENTRATION AT THE PRESCRIBED FLOW RATE 10%  

 

Last Updated Jun 23, 2017