Audit results are an opportunity for providers to learn and improve billing accuracy. Last year, the Centers for Medicare & Medicaid Services (CMS) replaced its method of selecting targets for complex medical reviews with a new strategy called Targeted Probe and Educate (TPE). Medicare Administrative Contractors (MACs) will focus on providers who have the highest ...
In CMS
May 9th, 2018
The Centers for Medicare and Medicaid Services (CMS) rolled out the Targeted Probe and Educate (TPE) programs for the Medicare Administrative Contractors (MAC) to begin identifying targeted providers and sending out round-one reviews by the end of last year. The TPE process is only used with providers that have high denial rates or unusual billing ...