Targeted Probe and Educate Audits (TPE) - What Does This Mean For Hospices?

Product Id : HE105
Instructor : Michelle Crowell Coleman
Apr 12, 2019 1:00 PM ET | 12:00 PM CT | 10:00 AM PT | 60 Minutes

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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.

Session Highlights:

  • 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

Also Includes:

  • 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
  • Billers
  • Nurses
  • Hospice leadership
Speaker Profile:

Michelle Crowell Coleman is the President of the Alabama Hospice and Palliative Care Organization and has been in the nursing field for the last 25 years with a focus in hospice over the last 15 years. She is currently the Regional Hospice QAPI Coordinator for LHC Group, INC. serving over the state of Alabama and has served in many capacities including Southern State Administrator over 17 hospice agencies.

Her passion is serving in the hospice and end- of- life arena. She has authored two books. What Do You See?, which focuses on documentation for new clinical individuals, and It’s Not About Dying, It’s About Living, Making Difficult Decisions in the Name of Love, which deals in making hard choices in end-of-life care.

Michelle is an advocator, public speaker, author, and motivator and is the proud mother of 3 children and grandmother of 2 grandsons that she adores.

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