Noridian Healthcare Solutions, LLC, as the Supplemental Medical Review Contractor (SMRC) for the Centers for Medicare & Medicaid Services (CMS), is conducting post-payment review of Orthopedic Footwear claims from January 1, 2019 through December 31, 2019.
Reviews will include base and accessory codes from the Orthopedic Footwear LCD (L33641).
| Base Codes | L3224, L3225, L3649 |
| Accessory Codes | L3455, L3460, L3530, L3540, L3600, L3610, L3620, L3630, L3640, L3000, L3001, L3002, L3003, L3010, L3020, L3030, L3031, L3040, L3050, L3060, L3070, L3080, L3090, L3100, L3140, L3150, L3160, L3170, L3300, L3310, L3320, L3330, L3332, L3334, L3340, L3350, L3360, L3370, L3380, L3390, L3400, L3410, L3420, L3430, L3440, L3450, L3465, L3470, L3480, L3485, L3500, L3510, L3520, L3550, L3560, L3570, L3580, L3590 and L3595 |
Want to be ‘audit ready’? The van Halem Group can help!
From clinical prescreens of your claims to conducting proactive audits on a one-time or monthly basis, we have solutions to ensure your claims are audit ready and meet technical and clinical guidelines.
Already received an audit request?
Our team can assist with reviewing your files, providing insight and recommendations, and respond on your behalf. If the audit results in an overpayment, our appeal experts can work to construct arguments specifically targeted to the claim denials.
Contact us to learn what our team of experts can do for you!