August 18, 2021
CMS Resumes Targeted Probe & Educate Program
CMS made the following announcement on August 12, 2021 through their MLN Connects Newsletter:
“CMS is restarting the Targeted Probe and Educate (TPE) program to help educate providers and reduce future denials and appeals. If your Medicare Administrative Contractor audits you, take advantage of the TPE education, and get up to 3 rounds of educational claim review to help you bill accurately.”
Watch for additional information from Jurisdiction B and Jurisdiction C Medical Review regarding the service-specific post-pay review and TPE process. This information will be shared through our electronic mailing list as soon as it is available.