tci Part B Insider - 2021 Issue Q4

Targeted Probe And Educate: Check Out the Latest Updates on TPE Medical Reviews

Tip: Check your individual jurisdiction’s topics ASAP. Whether you are ready for Targeted Probe and Educate (TPE) medical reviews to restart or not, they are happening. Details: The Centers for Medicare & Medicaid Services (CMS) paused the TPE program when COVID-19 hit in March 2020, saying it would stay paused for the duration of the COVID public health emergency (PHE). But on Aug. 12, CMS announced it would resume TPE. The agency did not provide any specifics in its MLN Connects newsletter announcement, including a start date. However, Part B Medicare Administrative Contractors (MACs) have started updating their...

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