tci Medicare Compliance & Reimbursement - 2023 Issue Q1

Industry Notes: Keep on Top of TPE Active and Pending Lists

When the Medicare Administrative Contractors (MACs) slowly restarted Targeted Probe and Educate (TPE) reviews in September 2021, after a COVID-inspired respite, the number of active items was small. But that’s no longer the case now. Update: If you haven’t checked your MAC’s list of active and pending TPE review topics, you should. Most MACs across the different jurisdictions added items during the first week of January 2023. For example, Part B MAC CGS Medicare will be looking at perennial favorites like annual wellness visits, lab tests, and nail debridement in this year while Part A MAC...

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