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Article Detail - JE Part B

Anesthesia Overpayments - Resolved 03/10/22

Provider/Supplier Type(s) Impacted: All

Reason Codes: N/A

Claim Coding Impact: Anesthesia claims billed with modifier AD

Description of Issue: Noridian has discovered overpayments for claims billed for more than 4 concurrent anesthesia procedures (anesthesia services containing modifier AD).

Noridian Action Required: Noridian will be adjusting claims for date of service 01/01/21-12/19/21 that are overpaid.

Provider/Supplier Action Required: Providers will be required to repay any overpaid funds once they receive their recoupment letter(s).

Proposed Resolution/Solution: Claims with date of service 01/01/21-12/19/21 were adjusted and priced correctly.

Date Reported: 03/10/22

Date Resolved: 03/10/22

            Last Updated Tue, 15 Mar 2022 12:15:09 +0000