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Compliance: Conquer Claims Reviews with These 5 Tips
Be on top of your MAC's TPE guidance as the program evolves in 2018.
Now that the MACs are running the show for CMS's Targeted Probe and Educate (TPE) program, ensure you know what's on the to-do list for your jurisdiction.
Nuts and bolts: After conducting two rounds of regular Probe & Educate reviews focused on face-to-face requirements, the Centers for Medicare & Medicaid Services instructed all of its MACs to switch their entire medical review operations over to TPE in October (see Medicare Compliance and Reimbursement, Vol. 43, No. 19.). The success of the pilot program led...
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Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.
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