Targeted Probe and Educate
Targeted Probe and Educate (TPE) reviews will resume on September 1, 2021. On August 24, 2021, we mailed letters to those providers whose TPE cases were paused due to the PHE to alert them that their pre-PHE TPE cases would be closed. New data analytics will be performed to restart the TPE program. Palmetto GBA Railroad Medicare will be conducting TPE pre-payment and postpayment reviews. Refer to the Targeted Probe and Educate: September 2021 to September 2022 Planned Reviews article for the list of services under TPE review.
The Centers for Medicare & Medicaid Services (CMS) has initiated Targeted Probe and Educate (TPE). For TPE, MACs will focus only on providers/suppliers who have the highest claim error rates or billing practices that vary significantly out from their peers. Please view the articles below for more information on TPE.