tci Medicare Compliance & Reimbursement - 2024 Issue Q2

Targeted Probe And Educate: Establish Practice Protocols For Addressing A TPE Audit

Hint: Look at your MAC’s focus to troubleshoot internal issues. Whether you’ve already survived a Targeted Probe and Educate (TPE) review or are just preparing staff for a possible audit, strong compliance policies and training are essential to pinpointing problem areas and managing those concerns. These fundamentals are key to balancing the logistics of a TPE review, according to Alicia Shickle-Cline, AHFI, CHC, CPCO, CPMA, CRC, during AAPC’s HEALTHCON 2024 session, “Deep Dive into Targeted Probe and Educate.” Here’s why: “The perception behind these TPE audits is that they are educational audits...

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