Home Health & Hospice Week

Industry Note:

Watch For Your TPE Letter

Halloween isn’t the only scary thing happening in October.

The weather might have been feeling like summer in many areas of the country lately, but fall appears about to arrive for the purposes of the Targeted Probe & Educate program.

On its Home Health Medical Review webpage, the Centers for Medicare & Medicaid Services says the “HH TPE program is set to begin in the fall of 2017.” And a new TPE article from HHH Medicare Administrative Contractor National Government Services says “effective 10/1/2017, the Centers for Medicare & Medicaid Services (CMS) is expanding the existing Targeted Probe and Educate (TPE) pilot to include all Medicare Administrative Contractors (MACs).”

“Providers targeted for TPE will receive a notification letter about the upcoming review and additional development requests (ADRs) will be used for the specific claims selected for review,” NGS says in a Sept. 22 email to providers.

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