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Targeted Probe and Educate (TPE)

Change Request 10249External PDFimplemented the Targeted Probe & Educate (TPE) process, effective October 1, 2017. Based on data analysis of claims payment, CGS will identify areas with the greatest risk of inappropriate program payment. Refer to the Medical Review Activity Log Web page for a list of Part A review topics. All service-specific and provider specific reviews as well as round two of the Part A Probe & Educate Program will be phased out.




Revised: 05.14.20

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