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