Such factors may include the following:
(I)#
The therapy provider has had a high claims denial percentage for therapy services under this part or is less compliant with applicable requirements under this subchapter.
(II)#
The therapy provider has a pattern of billing for therapy services under this part that is aberrant compared to peers or otherwise has questionable billing practices for such services, such as billing medically unlikely units of services in a day.
(III)#
The therapy provider is newly enrolled under this subchapter or has not previously furnished therapy services under this part.
(IV)#
The services are furnished to treat a type of medical condition.
(V)#
The therapy provider is part of group 7 7 So in original. Probably should be preceded by “a”. that includes another therapy provider identified using the factors determined under this subparagraph.