Industry Notes:
Here's Why TPE Claims Samples Have Been On The Larger Side
Published on Fri May 17, 2024
Get used to larger claims samples for Targeted Probe and Educate medical review. “Currently contractors utilize the 20 to 40 claim sample as outlined for TPE requirements,” HHH Medicare Administrative Contractor Palmetto GBA says in its Hospice Coalition Questions-and-Answers set from its Feb. 29 meeting, which the MAC posted on May 8. “Utilization, patient census, number of distinct outliers a [...]