Posted Saturday, August 28, 2021

Starting in September, CMS will resume Targeted Probe and Educate audits (TPE) after having suspended them during the pandemic.

“The TPE program is designed to identify providers that have frequent errors on their Medicare claims or billing practices that CMS considers to be unusual. TPEs, typically conducted by Medicare Administrative Contractors (MACs), also focus on services that have high national error rates and represent a financial risk to Medicare, according to CMS.

A TPE is designed to be more of an educational process than punitive.”

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