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® 72148: Magnetic Resonance Imaging of Spinal Canal Radiology Documentation Requirements 80.5%
CPT® 97164: Therapeutic Procedure Re-Evaluation Outpatient Therapy Documentation Requirements 100%
CPT® 99183: Hyperbaric Oxygen Chamber Skin Substitute and Wound Care Documentation Requirements 78.87%
Last Updated May 08 , 2024