Targeted Probe and Education (TPE) Reviews – While on hold during the pandemic, The Centers for Medicare and Medicaid have resumed many pre-payment reviews, including the Targeted Probe and Educate (TPE) program to help educate providers and reduce future denials and appeals.

Which jurisdictions are involved?

The Jurisdictions A & D, DME MAC, and Medical Review Departments are conducting pre-payment supplier-specific reviews for the below specialties.

targeted probe and education

Time to review your business policies

No post-mastectomy codes are currently under pre-payment review, however, AABCP advises that now is a good time to review your mastectomy billing & documentation policy.

If you want a refresher or have new employees, consider attending a 2023 AABCP Regulatory & Billing Boot Camp.

Targeted Probe and Education Reviews

For post-mastectomy locations that provide additional DMEPOS services, the pre-payment review results for Q3 2022 are available at Medical Record Review Results.

  • Ankle-Foot Orthotics
  • Glucose Supplies
  • Manual Wheelchairs
  • Ostomy Supplies
  • Pneumatic Compression Devices
  • Therapeutic Shoes
  • Spinal Orthotics
  • Surgical Dressings
  • Urological Supplies

AABCP is committed to keeping it’s members up to date on Targeted Probe and Education, pre-payment reviews, DMEPOS regulatory changes, and billing issues. For more information log into your AABCP member account or contact AABCP Offices.