tci Medicare Compliance & Reimbursement - 2019 Issue Q3

Industry Note: MAC Offers New TPE Advice in Q-and-A Set

If you’ve got questions about the Targeted Probe and Educate (TPE) medical review program facilitated by the Medicare Administrative Contractors (MACs), look no further. MAC Palmetto GBA uploaded a new question-and-answer set to its “Medical Review” online guidance. The Q-and-A, which references questions specifically from Palmetto GBA’s TPE “Hot Topics” teleconference on June 3, covers various medical review issues on topics like: OASIS submissions Appeals and denials Timeframes Therapy reviews Probe round specifications Error rates and chances Additional development requests (ADRs) MAC contact information Medicare Advantage Home health Review the TPE guidance at  www...

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