SMRC
Supplemental Medical Review Contractor
Contact Us
Help
Completed Projects
01-002 Kwashiorkor Findings of Medical Review
01-003 Hospital Outpatient Dental Services Findings of Medical Review
01-004 Specimen Validity Findings of Medical Review
01-005 Spinal Fusion Findings of Medical Review
01-006 Inpatient Bone Marrow and Stem Cell Transplant Procedures Findings of Medical Review
01-008 Electrodiagnostic Testing Findings of Medical Review
01-009 General Inpatient Hospice Findings of Medical Review
01-010 Replacement PAP Device Supplies and Accessories Findings of Medical Review
01-012 Emergency Ambulance Findings of Medical Review
01-013 Hospice Portfolio Findings of Medical Review
01-015 Non-Emergency Ambulance Findings of Medical Review
01-019 Spinal Cord Stimulator Findings of Medical Review
01-020 Outpatient Hyperbaric Oxygen (HBO) Findings of Medical Review
01-021 No Response Providers DME-DTS Findings of Medical Review
01-022 Emergency Ambulance Findings of Medical Review
01-024 Polysomnography Findings of Medical Review
01-025 Inpatient Rehabilitation Facility (IRF) Findings of Medical Review
01-026 Skilled Nursing Facility (SNF) Findings of Medical Review
01-027 Specimen Validity Part 2 Findings of Medical Review
01-028 Therapeutic Shoes for Diabetics Findings of Medical Review
01-029 IVIG Findings of Medical Review
01-030 Botulinum Toxins Findings of Medical Review
01-031 DRG Thyroid, Parathyroid and Thyroglossal Procedures Findings of Medical Review
01-032 TENS Findings of Medical Review
01-034 Transforaminal Epidural Injection Findings of Medical Review
01-036 Hospice Portfolio Findings of Medical Review
01-038 Facility Chronic Care Management (CCM) Findings of Medical Review
01-043 DRG COVID 20% Add On Payment Findings of Medical Review
01-044 Therapy Reviews Findings of Medical Review
01-045 Malnutrition Findings of Medical Review
01-046 IRF Longer LOS Findings of Medical Review
01-047 Electrodiagnostic Testing Axial Muscles and Spinal Levels Findings of Medical Review
01-049 Vitamin D Testing Findings of Medical Review
01-050 Podiatry Findings of Medical Review
01-055 Audio Only Telehealth Services During the PHE Findings of Medical Review
01-056 SNF 3 Day Stay Waiver PHE Findings of Medical Review
01-057 Potentially Unnecessary Surgeries Findings of Medical Review
01-058 Traditional Telehealth Findings of Medical Review
01-060 E/M No Response Providers DME Part II Findings of Medical Review
01-062 EDX Diabetes Findings of Medical Review
01-065 Total Joint Arthroplasty Findings of Medical Review
01-066 Schizophrenia in SNF Findings of Medical Review
01-067 Echocardiography Findings of Medical Review
01-069 Treatment of Chronic Venous Insufficiency Findings of Medical Review
01-071 E&M Dermatology Services Findings of Medical Review
01-072 Neurostimulator Implantation Findings of Medical Review
01-079 Dental Bone Grafting Notification of Medical Review
01-080 Vitamin B12 with Modifier 25 Findings of Medical Review
01-081Outpatient Dental Services CPT 41899 Findings of Medical Review
01-083 Hyperbaric Oxygen for Lower Extremities Diabetic Wounds Notification of Medical Review
01-085 IRF Notification of Medical Review
01-087 OIG Facet Joint Denervation Findings of Medical Review
01-092 Cryosurgery of the Prostate Findings of Medical Review
01-093 Overlapping Claims – Hospital Transfers During the PHE Findings of Medical Review
01-095 Mohs Surgery Findings of Medical Review
01-096 Select Carotid Artery Screening Findings of Medical Review
01-099 Hospice 90 Day Stay Findings of Medical Review
01-106 Psychotherapy Services Findings of Medical Review
01-108 OIG Genetic Testing Findings of Medical Review
01-109 Lumbar-Sacral Orthoses Findings of Medical Review
01-111 OIG Opioid Use Disorder Treatment Services Findings of Medical Review
01-113 Acupuncture Notification of Medical Review
01-116 OIG Epidural Steroid Injections Findings of Medical Review
01-118 Acute Hospital Care at Home (AHCaH) DRG Review Findings of Medical Review
01-119 Home Health Second Certification Period Findings of Medical Review
01-121 Nail Avulsions Findings of Medical Review
01-123 Nerve Block Injections Notification of Medical Review
01-125 Cataract Surgery Findings of Medical Review
01-127 Outpatient Therapy Reviews Below the Threshold Findings of Medical Review
01-130 Urinary Catheters Findings of Medical Review
01-133 Knee Injections with Hyaluronic Acid Findings of Medical Review
01-135 IRF Services Findings of Medical Review
01-136 Surgical Dressings Findings of Medical Review
01-137 VertebralKyphoplasty Findings of Medical Review
01-140 OIG Hospital Outpatient Services for Hospice Enrollees Findings of Medical Review
01-144 Hyperbaric Oxygen (HBO) for Lower Extremities (LE) Diabetic Wounds Part 2Findings of Medical Review
01-145 Select Carotid Artery Screening Findings of Medical Review
01-146 Office of Inspector General (OIG) Evaluation and Management (E/M) Modifier 25 With Eye Injections Findings of Medical Review
01-301 Home Health Findings of Medical Review
01-302 Cataract Surgery Notification of Medical Review
01-303 Surgical Dressings Findings of Medical Review
01-304 Facet Joint Injections Findings of Medical Review
01-305 Inpatient Psychiatric Facility Findings of Medical Review
01-306 Ostomy Supplies Findings of Medical Review
01-307 Orthopedic Footwear Notification of Medical Review
01-308 Outpatient Therapy Notification of Medical Review
01-309 Ophthalmology Injections Notification of Medical Review
01-310 Endomyocardial Biopsy with Right Heart Catheterization Findings of Medical Review
Contact
Contact Center
Email Customer Service
Fax Number
Frequently Asked Questions (FAQs)
Holiday Schedule
Mailing Addresses
Medicare Administrative Contractor (MAC)
Current Projects
01-054 Carotid Artery Screening Findings of Medical Review
01-084 Hospice General Inpatient (GIP) Level of Care Findings of Medical Review
01-086 Home Health Notification of Medical Review
01-088 SNF PDPM Findings of Medical Review
01-103 Echocardiography Select Code Findings of Medical Review
01-147 Total Knee Arthroplasty Part A Notification of Medical Review
01-148 Total Knee Arthroplasty Part B Notification of Medical Review
01-150 Botulinum Toxins in the Office Setting Notification of Medical Review
01-155 CGMs After the PHE Notification of Medical Review
01-157 Patient Lifts Notification of Medical Review
01-158 Home Health Longer Days Notification of Medical Review
01-159 Office of Inspector General (OIG) Continuous Glucose Monitors and Supplies Notification of Medical Review
Sample Project
Discussion & Education Period / Re-Review
Documentation Requests
How to Respond to an ADR
Medical Documentation Signature Requirements
Provider Compliance Group (PCG) Medical Review Process Flowchart
Provider Compliance Group (PCG) Medical Review Process Flowchart 508 Compliant Description
Help
Acronyms and Glossary
Alternate Format for Beneficiaries
Bookmark a Webpage
Browser Requirements
Customize the Noridian Site View
File Formats and Plug-ins
Keyboard Shortcuts
Privacy Policy
Search Tips
Site Map
Overpayment / Underpayment and Appeals Process
Supplemental Medical Review Contractor (SMRC)
SMRC
/
Documentation Requests
/
Provider Compliance Group (PCG) Medical Review Process Flowchart
/
Documentation Requests
Additional Resources
Provider Compliance Group (PCG) Medical Review Process Flowchart
Provider Compliance Group (PCG) Medical Review Process Flowchart 508 Compliant Description
Provider Compliance Group (PCG) Medical Review Process Flowchart
Last Updated Sep 5, 2025
