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
HCPCS J0897: Injection, Denosumab, 1mg Drugs and Biologicals Documentation Requirements 53.18%
CPT® 72148: Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material Radiology Documentation Requirements 80.01%

CPT® 68761: Closure of the lacrimal punctum; by plug, each

 Surgery and Procedure Required Documentation Requirements 41.10%
Last Updated Jul 31 , 2024