Overpayment of Procedures Exceeding MUE Units-Resolved

Noridian identified a system issue that caused the overpayment of procedures when exceeding MUE units.  Some procedures with MAI values of 2 or 3 were allowing more than the allowable MUE units. This issue began in April 2015. Noridian corrected the claims processing system issue on 08/23/16. All mass adjustments were initiated on/before 10/28/16. Providers shall comply with the recoupment requests. Providers may submit a Redetermination request or Reopening request, as appropriate per Medicare guidelines.

Source: https://med.noridianmedicare.com