What home health providers need to know about the Medicare TPE Audit Process
04/04/24 at 03:00 AM
What home health providers need to know about the Medicare TPE Audit Process
Home Health Care News, by Joyce Famakinwa; 4/2/24
... TPE is a medical review program that began for the home health and hospice settings in December 2017. The goal of the program is to weed out improper payments by zeroing-in on providers with high claims denial rates or unusual billing practices. ... TPE has three pillars. Target refers to errors or mistakes that are identified through data in comparison to providers or peers. Probe is the examination of 20 to 40 claims. ... Education means helping providers reduce claim denials and appeals through one-on-one individualized education.