The Consistency of TPE Failure Rates

Home health agencies undergoing TPE reviews continue to fail at impressive rates for the same reasons as previous reviews. Let's talk about the consistency of TPE failure rates and how they link to RCD, PDGM, and more.

TPE Update: The Only Constant is Change

Yet Another Update to TPE (Targeted Probe and Educate) THIS JUST IN! (This post updates a blog written and published on 11/8/18) Medicare Administrative Contractor (MAC) CGS Administrators has just posted its first update to Targeted Probe and Educate (TPE) activity in nearly a year, and immediately updated it. Four more areas to receive additional... Continue Reading →

Cirque de Home Health: Juggling Payment Risks – TPE update

THIS JUST IN - TPE UPDATE! Medicare Administrative Contractor (MAC) CGS Administrators has just posted its first update to Targeted Probe and Educate (TPE) activity in nearly a year. Four more areas will receive further scrutiny. These TPE updates are in addition to Home Health Eligibility & Medical Necessary and Length of Stay (LOS) with... Continue Reading →

Targeted Probe and Educate: What It Is and What It Isn’t

CMS has replaced the Progressive Corrective Action (PCA) ADR/Medical Review process with Targeted Probe & Educate (TPE). With this change comes a different approach to reviews and how Additional Development Requests (ADRs) are sent to agencies. Much of PCA is still present, but with some key changes, so TPE is not the same old process. Check out our comprehensive list of what TPE IS and what TPE IS NOT.

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