Medical Record Review Results

Noridian Medical Review (MR) has analyzed findings as a result of Targeted Probe and Educate (TPE) review. The goal of MR is to reduce claim errors by identifying services with top trending errors and providing relevant education. MR encourages providers to review this information to ensure compliance with documentation, billing, and coding guidelines.  

Review Criteria Current Error Rate Review Results
Hyperbaric Oxygen Services, HCPCS G0277 60%
IV Hydration, CPT® 96360/96361 55%
Polysomnography, CPT® 95810/95811 37%

 

Last Updated Feb 19, 2020