Post-Pay Reviews - JE Part A
The Centers for Medicare & Medicaid Services (CMS) is required to protect the Medicare Trust Fund against inappropriate payments which pose a risk to the Trust Fund. Noridian’s focus includes performing post-payment service specific reviews identified by vulnerabilities that indicate questionable billing patterns.
Information below provides a global notice of what post-payment service topic reviews are currently in process, required documentation, resources used in reviews, and any current findings if the service topic review is completed.
|Review Criteria||Service Specific Review Notification||Current Review Status|
|Intravenous Hydration, CPT® 96360/96361||
|Outpatient Rehab Facility (ORF) Physical Therapy, Revenue Code 042X||
|Inpatient Rehab Facility (IRF)||
Last Updated Wed, 14 Oct 2020 21:05:40 +0000