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 55.64%
Polysomnography, CPT® 95810/95811 21.30%
Total Knee Arthroplasty, CPT® 27447 44.83%

 

Last Updated Wed, 31 Aug 2022 14:27:43 +0000