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
Cataract removal, CPT® 66984 28.78%
Polysomnography, CPT® 95810/95811 44.49%
Total Knee Arthroplasty, CPT® 27447 17.63%

 

Last Updated Wed, 18 Jan 2023 13:57:29 +0000