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® 66984; Cataract Removal Surgery and Procedure Services Documentation Requirements 55.12%
HCPCS J1745; Remicade Drug Administration Documentation Requirements 68.85%
CPT® 99212-99215; Evaluation and Management EM Documentation Requirements 40.53%
Last Updated May 09 , 2024