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Review Notifications and Findings

View the current topic specific service specific review notifications, required documentation, and resources used in reviews and findings. To determine if your facility is on review, verify the states affected. Providers may need to verify their provider billing number to make such a determination.

Request Facility Related Results

When available, overall interim and final file results are posted below. If a provider would like to request facility specific findings, follow the Request "My Results" from Medical Review instructions.

Current Noridian Service-Specific Reviews

Documentation Compliance Review

Review Criteria Start Date End Date States Affected Findings/Review Dates

Comprehensive Metabolic Panel, 80053

07/27/15

View Notification

01/30/17 CA, HI, NV, AS, GU, NMI View Final Findings – R1507-000
10/19/16 – 01/18/17

My Results

 

Inpatient Rehabilitation Facility (IRF) Services

Review Criteria Start Date End Date States Affected Findings/Review Dates

Inpatient Rehabilitation Services

09/08/14

View Notification

N/A CA and NV View Interim Findings - T1409-000
10/01/16 – 12/31/16

Inpatient Rehabilitation Services

03/28/14

View Notification

07/22/14 CA and NV

View Final Findings C1403-001
03/28/14 - 07/22/14


 

Outpatient Services

Review Criteria Start Date End Date States Affected Findings/Review Dates

Outpatient Drug J0897

03/25/15

View Notification

05/29/15  CA

View Final Findings – C1503-003
03/25/15 – 05/29/15

My Results

Outpatient Drug J0897 - Denosumab

06/29/15

View Notification 

N/A  CA - Providers billing  XXX000-XXX109

View Interim Findings – T1506-002
10/04/16-01/05/17

My Results

06/29/15

View Notification

N/A  CA - Providers billing XXX110-XXX299  View Interim Findings - T1506-003
10/21/16-02/06/17

My Results

06/29/15

View Notification

N/A  CA - Providers billing  XXX300-XXX500

View Interim Findings – T1506-001
10/20/16 -01/22/17

My Results

06/29/15

View Notification

N/A  CA - Providers billing  XXX501-XXX999

View Interim Findings - T1506-000
10/17/16-12/17/16

My Results

 
10/24/16

View Notification
N/A HI View Interim Findings - T1610-000
10/24/16-01/25/17

My Results

 

Skilled Nursing Facility (SNF)

Review Criteria Start Date End Date States Affected Findings/Review Dates

SNF Demand with TOB 21x, Condition Code 20

09/02/13

View Notification

N/A CA, NV, HI and Territories

View Interim Findings – S1308-000
10/12/16-01/18/17

My Results

 

Last Updated Feb 21, 2017

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Last Updated Feb 03, 2015