Post-Pay Reviews - JF Part B
The Centers for Medicare & Medicaid Services (CMS) is required to protect the Medicare Trust Fund against inappropriate payments which pose a risk to the Trust Fund. Noridian’s focus includes performing post-payment service specific reviews identified by vulnerabilities that indicate questionable billing patterns.
Information below provides a global notice of what post-payment service topic reviews are currently in process, required documentation, resources used in reviews, and any current findings if the service topic review is completed.
|Review Criteria||Service Specific Review Notification||Current Review Status|
|Annual Wellness/Subsequent Wellness Visit, HCPCS G0438/G0439||
|Dual-Energy X-ray Absorptiometry (DEXA), CPT® 77080||
|Therapeutic Exercise, CPT® 97110||
Last Updated Wed, 02 Sep 2020 19:15:25 +0000