Alerts Details - JE Part A
Multiple Procedure Payment Reduction Calculation Issue - Resolved 03/31/21
Provider/Supplier Type(s) Impacted: Outpatient claims
Reason Codes: Not applicable.
Claim Coding Impact: HCPCS Codes subject to Multiple Procedure Payment Reduction (MPPR)
Description of Issue: Noridian is aware of a system issue with claims that did not apply the MPPR starting 01/01/21. This resulted in overpayments on claims.
Noridian Action Required: Noridian will make system updates and will mass adjust the claims to correct the payment.
03/05/21 - Noridian completed the system updates so claims will process appropriately. Noridian will start the mass adjustment process.
03/16/21 - Noridian identified an additional issue with the calculation. Additional system updates will be made, and the claims will be readjusted.
03/31/21 - Noridian initiated the adjustments.
Provider/Supplier Action Required: No provider action is needed to correct the claims. Providers should follow the regular process for paying any overpayments on the claims that processed in error.
Proposed Resolution/Solution: Noridian will mass adjust the claims.
Date Reported: 02/26/21
Date Resolved: 03/31/21
Last Updated Tue, 06 Apr 2021 17:06:18 +0000