Part B Insider - 2023 Issue 2
Industry Notes: Keep on Top of TPE Active and Pending Lists
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Article Overview
This short article discusses recent changes in Medicare Administrative Contractor Targeted Probe and Educate (TPE) active and pending review lists. It is intended for billing, coding, and compliance professionals who track Medicare audit activity and need to stay aware of which broad service categories are being reviewed across MAC jurisdictions.
Why This Topic Matters
Monitoring TPE lists helps organizations stay informed about current Medicare audit focus areas so they can prioritize internal review and compliance readiness.
What You Will Learn
- How TPE review activity changed after the 2021 restart
- Why MAC active and pending review lists should be monitored regularly
- Which general types of services were added to some MAC review lists in early 2023
- How Medicare audit focus can vary across jurisdictions
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Revenue cycle teams
- Healthcare administrators
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