Recent OIG audit findings indicate a problem with providers correctly coding the … See more

Effective Immediately The FDA approved use of biosimilars for FDA approved drugs, has increased recently. Noridian will accept a biosimilar drug on the same criteria as the drug to whi… See more

Compounded drugs created by a pharmacist in accordance with the Federal Food, Drug and Cosmetic Act and the FDA Modernization Act of 1997 may be covered under Medi… See more

Coverage for outpatient drugs requires that documentation must support that services were properly authenticated or intended by the physician. While a physician order is not require… See more

Noridian will no longer require the submission of the invoice price for payment for Radium 223 (Xofigo). This radiopharmaceutical should be billed with A9606 whe… See more