Targeted Probe and Educate Audits (TPE) - What Does This Mean For Hospices?
Instructor : Michelle Crowell Coleman
Apr 12, 2019 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes
The CMS introduced the Targeted Probe and Educate (TPE) audits on October 1, 2017 to determine if hospices are billing appropriately. The major goal of TPE is to reduce or prevent improper payments. But it also aims to provide data analysis and education to providers.
TPE has a significant impact on hospices and the CMS and Medicare Administrative Contractors (MACs) have revealed some areas within the hospice benefit at risk for improper Medicare payments.
To avoid these audits should be your primary concern. However, if you are hit with one, providers and suppliers are allowed to challenge TPE claim denials and overpayments through the regular Medicare appeals process.
In this webinar by expert speaker, Michelle Crowell Coleman, BSN, RN you will be able to understand the new process of the Targeted Probe & Educate audits and learn how to effectively document and analyze data to potentially avoid these audits.
- Understand the new TPE audits
- How to effectively document and analyze data
- Explain the data analysis used to choose hospices for these audits
- Review ways to maneuver through these payment scrutiny
- Live Q&A with speaker
- PowerPoint presentation (upon request) for reference
- Certificate of attendance
Who Will Benefit:
- Hospice QAPI/PI
- Hospice educators
- Hospice executives
- Hospice compliance
- Hospice leadership