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: Extracapsular Cataract Removal Surgery and Procedure Services Documentation Requirements 47.14%
CPT® 99215: Evaluation and Management of an Established Patient, With High Level of Medical Decision Making, 40 Minutes Evaluation and Management Documentation Requirements 56.15%
CPT® 64479: Transforaminal Epidural Steroid Injection Facet Injections Documentation Requirements 96.58%
Last Updated Jul 31 , 2024