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Medical Record Review Results - JF Part B

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
Therapeutic Procedure Re-Evaluation, CPT® 97164 97%
J1745 – Infliximab, excludes biosimilar, 10 mg (Remicade) 94%
Chemodenervation of muscle; facial, trigeminal, cervical spinal and accessory nerves, bilateral, CPT® 64615 92%


Last Updated Thu, 12 Oct 2023 20:06:14 +0000