Targeted Probe and Education (TPE) Excluded from the Review Choice Demonstration (RCD)

Published 12/02/2020

Providers cannot be under Targeted Probe and Education (TPE) and the Review Choice Demonstration (RCD) at the same time. Providers who were on TPE review in the states of Illinois, Ohio, Texas, North Carolina and Florida have been removed from TPE review and will not receive Additional Documentation Requests (ADRs) related to that review. 

Please continue to monitor your billing, documentation and coverage practices to ensure claims are properly submitted to Medicare. Providers should submit their claims based on their current RCD selection choice and respond to any ADRs accordingly.

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