Overpayment of Procedures Exceeding MUE Units
October 24, 2016Noridian identified a system issues 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. Mass adjustments are expected to be initiated starting on/after 09/30/16. Providers shall comply with the recoupment requests. Providers may submit a Redetermination request or Reopening request, as appropriate per Medicare guidelines.