An initial Target, Probe, and Educate (TPE) audit for Jurisdiction D conducted by Noridian Healthcare Solutions has found an improper claim payment rate of 19% for 4 HCPCS codes: L4360, L4361, L4386, and L4387. The codes relate to walking boot style orthoses. Previous improper payment rates for these codes have ranged from 66% to 100%
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TPE audit shows sharp decline in improper claim payment rate