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Tag: TPE audits


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TPE program: Still a work in progress

January 11, 2019Liz Beaulieu, Editor

WASHINGTON - CMS has updated its “Targeted Probe and Educate” program in two ways that could potentially make it easier and more fair for HME providers.The agency on Dec. 31 implemented the “TPE 10-Claim Preview Pilot” to allow the MACs to select just 10 claims for review under Round 1. If a provider is found to be compliant, the NPI associated with those claims will be exempt from reviews for about one year for those services/items.“In some ways it's good,” said...

Kelly Grahovac, Targeted Probe and Educate, The van Halem Group, TPE audits


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