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