tci Part B Insider - 2018 Issue 3

Targeted Probe And Educate: Use These 5 Tips to Master Part B Claims Reviews

Be on top of your MAC's TPE guidance as the program evolves in 2018. CMS's Targeted Probe and Educate (TPE) program is in full swing and remains a hot issue now that the MACs set the claims topics under their review spotlight. Take a look at this up-to-date news to ensure you know what's on the to-do list for your jurisdiction. Background: After conducting two rounds of regular Probe & Educate reviews focused on face-to-face requirements, CMS instructed all of its MACs to switch their entire medical review operations over to TPE in October. The success of the pilot...

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Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

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