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 Current Error Rate Review Results
Chronic Care Management, CPT® 99490 96%
Definitive Drug Test, HCPCS G0482 & G0483 92%
Echocardiography Procedure, CPT® 93306 49%
Facet Joint Injection, CPT® 64635 & 64636 75%
Manual Therapy, CPT® 97140 84%
Massage Therapy, CPT® 97124 87%
Neuromuscular Re-education, CPT® 97112 98%
Re-Evaluation, CPT® 97164 100%
Therapeutic Exercise, CPT® 97110 78%
Vein Ablation, CPT® 36475 22%
Vitamin D, CPT® 82306 71%

 

Last Updated Mon, 03 Aug 2020 17:35:14 +0000