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 | Required Documentation | Current Error Rate | Review Results |
|---|---|---|---|
| CPT® 90833; Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) | Mental Health Documentation Requirements | 74.39% | |
| CPT® 97530; Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes | Outpatient Therapy Requirements | 67.03% | |
| CPT® 71046; Radiologic examination, chest; 2 views | Radiology Documentation Requirements | 56.82% |
Last Updated Oct 21 , 2025
