Medicare Compliance & Reimbursement

Industry Note:

MAC Offers New TPE Advice in Q-and-A Set

If you’ve got questions about the Targeted Probe and Educate (TPE) medical review program facilitated by the Medicare Administrative Contractors (MACs), look no further. MAC Palmetto GBA uploaded a new question-and-answer set to its “Medical Review” online guidance.

The Q-and-A, which references questions specifically from Palmetto GBA’s TPE “Hot Topics” teleconference on June 3, covers various medical review issues on topics like:

  • OASIS submissions
  • Appeals and denials
  • Timeframes
  • Therapy reviews
  • Probe round specifications
  • Error rates and chances
  • Additional development requests (ADRs)
  • MAC contact information
  • Medicare Advantage
  • Home health

Review the TPE guidance at  www.palmettogba.com/palmetto/providers.nsf/DocsR/Providers~JJ Part B~Medical Review~Targeted Probe and Educate~BDWLCN4415?open.

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