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Targeted Probe and Education Review: What it is and How to Respond

Targeted Probe and Education Review: What it is and How to Respond

Tuesday, October 20, 2020 ~ 2:30PM - 3:30PM

Speakers: Jeff Baird, Esq. and Denise Leard, Esq.  of Brown & Fortunato

Well … it is an understatement to say that we are living in uncertain times. However, what is certain is that the demand for DME will continue to increase. This is due to the aging of the 78 million Baby Boomers, the impact of COVID-19, and the need to keep people out of the hospital.

As we eventually return to a semblance of normalcy, DME suppliers will have to respond to post-payment audits. Over the years, post-payment audits have been unfair to DME suppliers. CMS has attempted to address this unfairness by implementing the Targeted Probe and Educate (“TPE”) program. Under the TPE program, the supplier is not subjected to unlimited requests for documentation … followed by vague denials.

Rather, under the program the DME MAC

  1. requests a limited number of patient files,
  2. reviews the files,
  3. explains any denials, and
  4. provides education to the supplier that addresses the denials.

This webinar will discuss what the TPE program is and how the DME supplier should respond to a TPE request. Equally as important, this webinar will talk about the steps the supplier should take to ensure that its documentation will pass TPE review.  

PRICE: MEMBER $99.00 | NON-MEMBER $129.00

PDF registration is also available which can  be  emailed  to Tilly Gambill at tillyg@aahomecare.org or faxed to  202-835-8306.

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