tci Medicare Compliance & Reimbursement - 2022 Issue Q2

Quiz: Check Your ADR Knowledge on These Critical Questions

Hint: Know there’s more than one way to submit documentation. The Medicare carriers were slow to add topics to their Targeted Probe and Educate (TPE) claims review lists after a reprieve during the height of the pandemic. But a quick check on most MACs websites show that they are ramping things up — and you might want to revisit your TPE policies. Reminder: In March 2020, the Centers for Medicare & Medicaid Services (CMS) paused its TPE program operated by the Medicare Administrative Contractors (MACs) due to COVID-19. CMS opted to continue the pause until it announced last...

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