Targeted probe and educate (TPE) topics and schedule of review
View this updated listing of targeted probe and educate (TPE) review topics.
Articles
Article Type
Category
Inpatient rehabilitation facility (IRF) coverage, documentation requirements and common errors
Read about policy changes finalized in the FY 2027 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS)...
Targeted probe and educate (TPE) round results: Wound care (CPT 11042 and 11045)
View targeted probe and educate (TPE) round results for wound care (CPT 11042 and 11045).
Checklist: Remote therapeutic monitoring (RTM)
Documentation checklist for remote therapeutic monitoring.
Targeted probe and educate (TPE) round results: Psychotherapy services (CPT 90832, 90834, 90837)
View TPE round results for psychotherapy services.
Hospital outpatient department (OPD) prior authorization exemption process
On August 1, exempt OPDs will receive an additional documentation request (ADR) for a 10-claim post-pay sample on finalized...
What is fraud and abuse?
Learn the difference between fraud and abuse, recognize common warning signs, and understand your role in preventing improper...
Prior authorization request (PAR) ambulatory surgical center (ASC) procedures Medicare Part B fax/mail coversheet
The PAR fax/mail coversheet for ASCs is now available for Florida ASCs participating in the ASC PA demonstration. ASCs in...