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 | 53% | | |
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 | 35% | | |
E0784: EXTERNAL AMBULATORY INFUSION PUMP, INSULIN | 22% | | |
Immunosuppressive Drugs
Review Criteria | Current Error Rate | Service Specific Review Notification | Current Review Results |
J7507: TACROLIMUS, IMMEDIATE RELEASE, ORAL, 1 MG | 23% | | |
J7517: MYCOPHENOLATE MOFETIL, ORAL, 250 MG | 50% | | |
J7518: MYCOPHENOLIC ACID, ORAL, 180 MG | 70% | | |
J7520: SIROLIMUS, ORAL, 1 MG | 23% | | |
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 | 27% | | |
J7626: BUDESONIDE, INHALATION SOLUTION, FDA-APPROVED FINAL PRODUCT, NON-COMPOUNDED, ADMINISTERED THROUGH DME, UNIT DOSE FORM, UP TO 0.5 MG | 31% | | |
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 Jan 22, 2018