Medical Record Review Results - JE Part B
Medical Record Review Results
Noridian Medical Review (MR) has analyzed findings as a result of Targeted Probe and Educate (TPE) review. The goal of MR is to reduce claim errors by identifying services with top trending errors and providing relevant education. MR encourages providers to review this information to ensure compliance with documentation, billing, and coding guidelines.
| Review Criteria | Required Documentation | Current Error Rate | Review Results |
|---|---|---|---|
| CPT® 99291: Critical care, evaluation and management of the critically ill or critically injured patient; first 30-70 minutes | Evaluation and Management Documentation Requirements | 42.14% | |
| CPT® 74177 - Computed tomography, abdomen and pelvis; with contrast material(s) | Radiology Documentation Requirements | 61.40% | |
| CPT® 93351 - Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional | Echocardiogram (ECG) Documentation Requirements | 93.75% |
Last Updated Jan 31 , 2025
