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Tag: Claims Review


CMS revamps claims review process

August 16, 2017HME News Staff

WASHINGTON - Claims submitted by providers that have the highest claim error rates or billing practices that vary significantly from their peers will soon face increased scrutiny, CMS has announced.As part of an expanding “Targeted Probe and Educate” program, the Medicare Administrative Contractors will identify these providers through data analysis.“TPE claim selection is different from that of previous probe and educate programs,” the agency stated in an Aug. 14 announcement...

Audits, Claims Review, Data Analysis

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