BC Advantage - 2018 Issue 1

Targeted Probe and Educate TPE

Have you ever been caught in the avalanche of paperwork and uncertainty that is entailed with a Medicare appeal? Medicare audits are never a fun topic to discuss. They can at times be a long, drawn out process. In an effort to "reduce appeals, decrease provider burden, and improve the medical review and education process," Medicare has expanded the Targeted Probe and Educate (TPE) pilot program to all of their Medicare Administrative Contractors (MACs) for Part A, B, HHH, and DME.How will this reduce the number of appeals? The providers/suppliers will have one (1) to three...

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