Understanding Medicare’s Targeted Probe and Educate (TPE) Program is crucial for reducing claim denials and improving billing practices.
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CMS’s Targeted Probe and Educate (TPE) program offers a comprehensive review process designed to assist providers in identifying and correcting errors in their claim submissions.
It’s crucial for healthcare compliance teams and auditors to understand this complex process, which is why we created our latest eBrief.
Key highlights of the eBrief include:
- Initial Review: An overview of how the review process starts and what to expect.
- Education and Correction: What happens if errors are found – and how long you have to correct them.
- Subsequent Reviews: Next steps if persistent issues continue to occur.
The article also highlights common issues identified by MACs in areas such as wound care, vascular stenting, and evaluation and management (E/M) services.