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Understanding Medicare’s Targeted Probe and Educate (TPE) Program - eBrief

The Centers for Medicare & Medicaid Services’ Targeted Probe and Educate (TPE) program is one of the processes that Medicare administrative contractors (MACs) can use when providers are selected by medical review. CMS claims this review process is designed to help providers reduce claim denials and...

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Will AI-Powered Solutions Revolutionize Healthcare Compliance? - eBrief

The healthcare landscape is evolving rapidly, and compliance is more crucial than ever. The OIG’s November 2023 Healthcare General Compliance Program Guidance (GCPG) underscores the need for robust risk management and continuous improvement.

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Strategies for Effective Compliance Training and Education - eBrief

Understanding compliance requirements in the healthcare industry is not always intuitive. There are many laws and regulations prohibiting certain types of activities in healthcare that might be allowed in other industries. Additionally, individuals involved in providing healthcare are often focused...

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