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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

07/27/2015

View Notification

N/A CA, HI, NV, AS, GU, NMI View Interim Findings – R1507-000
07/08/16 – 10/18/16

My Results

 

Inpatient Rehabilitation Facility (IRF) Services

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

Inpatient Rehabilitation Services

09/08/2014

View Notification

N/A CA and NV View Interim Findings - T1409-000
06/01/16 – 09/30/16

Inpatient Rehabilitation Services

03/28/2014

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

Ambulance Services – Hospital to Nursing Home

03/28/2014

 View Notification
N/A CA


View Final Findings - T1403-001
01/25/16 - 06/01/16

My Results

Ambulance Services – Hospital to Nursing Home

11/01/13

View Notification

02/24/14 CA

View Final Findings - C1311-002
 

My Results

Cardiac Catheterization – CPT 93451

05/19/2015

View Notification
10/16/15 CA

View Final Findings - C1505-000
05/19/15-10/16/15

My Results

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
07/23/16-10/03/16

My Results

06/29/15

View Notification

N/A  CA - Providers billing XXX110-XXX299  View Interim Findings - T1506-003
07/25/16-10/20/16

My Results

06/29/15

View Notification

N/A  CA - Providers billing  XXX300-XXX500

View Interim Findings – T1506-001
07/25/16-10/19/16

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

 
10/24/2016

View Notification
N/A HI File number- T1610-000

My Results

Outpatient Drug J9041

03/25/15

View Notification

06/23/15 CA View Final Findings – C1503-004
03/25/15 – 06/23/15

My Results 

Outpatient Drug J9041 Brotezomib

07/20/15

View Notification

11/09/16 CA View Final Findings – T1507-000
08/17/16-10/20/16

My Results

Outpatient Drug J9055

03/25/15

View Notification

02/24/16 CA View Final Findings – C1503-000
03/25/15 – 02/06/16

My Results

Outpatient Drug J9310

03/25/15

View Notification

03/24/16 CA View Final Findings – C1503-002
03/25/15 – 03/24/16

My Results

Outpatient Drug J9355

02/22/16

View Notification

09/15/16 CA

View Final Findings – C1602-000
02/22/16 – 09/15/16

My Results

Outpatient Drug J9280  Mitomycin

05/24/16

View Notification
11/02/16 CA View Final Findings - C1605-000
05/24/16-11/2/16

My Results

Outpatient Drug J0897 – Denosumab

05/18/16

View Notification
09/20/16 HI

View Final Findings – C1605-001
05/18/16 – 09/20/16

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

09/02/2013

View Notification

N/A CA, NV, HI and Territories

View Interim Findings – S1308-000
05/26/16-10/11/16

My Results

SNF RUG Levels RU* & RV*

11/01/13

View Notification

To Be Determined HI, MP, GU, AS

View Final Findings – C1311-001
11/01/13–03/18/14

My Results

SNF RUG Levels RU* & RV*

04/18/14
View Notification
03/24/15 HI, MP, GU, AS View Final Findings - T1404-001

04/18/14-03/24/15

My Results

 

Last Updated Jan 06, 2017

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Last Updated Feb 03, 2015