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.
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.