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Targeted Probe & Educate (TPE) Provider Contact

Published 05/03/2018

Change Request 10249 (PDF, 241 KB) implemented the Targeted Probe & Educate (TPE) process, effective October 1, 2017. Palmetto GBA will mail a letter to those providers that have been selected for TPE review. The letter outlines the reason for selection, and provides an overview of the TPE process and contact information.

It is imperative when responding to the TPE Additional Documentation Request (ADR) that you include the name and number of your designated contact person. Our medical reviewer will contact your designated person prior to the conclusion of each TPE round to discuss the review summary.

In addition to the calls to provide the review summary, the reviewer may also reach out to the designated person to request additional documentation for easily curable errors identified during the review to prevent denials for missing documentation. Please make sure you include the point of contact information with all records submitted in response to a TPE ADR.

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