Industry Note:
TPE Torpedoes Hospices — Again
Published on Fri Feb 15, 2019
Unsupported terminal prognosis causes most denials. One HHH Medicare Administrative Contractor racked up another 100 percent failure rate for hospices under Targeted Probe and Educate medical review in the latest quarter. In the three months ended Dec. 31, 2018, MAC CGS completed seven TPE probes. They were all under the Length of Stay with Non-Oncologic Diagnosis edit (5D000). CGS medical [...]