This dedicated portal is designed to provide comprehensive information and valuable resources for healthcare providers navigating the Targeted Probe & Educate process. The TPE program is an integral part of Medicare’s strategy to ensure accurate billing practices and to provide personalized education to providers. Our aim is to empower you with the knowledge and tools necessary to achieve successful results through the TPE review process.
Target Probe and Educate Resources
2026 Targeted Probe and Educate (TPE) Updates: New CMS Requirements and Medicare MAC Notification Changes
Targeted Probe and Educate (TPE) continues to present significant challenges for home health and hospice agencies as medical reviews become increasingly complex, time-consuming, and demanding. With growing documentation requirements and an increasing volume of medical review requests, it is more important than ever for providers to stay informed about changes that could impact their agency. Today, we’ll discuss two important TPE updates, including new reporting requirements for Medicare Administrative Contractors (MACs) and changes to the notification process that agencies need to be aware of.
The Current State of TPE and How to Avoid Common Claim Denials for Home Health and Hospice
Discover the current state of TPE for Hospice and Home Health providers, along with the top claim denials and strategies on how to avoid them to prevent negative financial impacts.
Targeted Probe and Educate 101: What You Need to Know (VIDEO)
Targeted Probe and Educate is a major issue that makes Home Health and Hospice agencies anxious. This video covers the process of Targeted Probe and Educate, what happens when you fail a review, and how to prevent it.
Hospice Targeted Probe & Educate Update (VIDEO)
This Minute will review some of the current activity with hospice scrutiny in Targeted Probe & Educate. We have seen a huge influx of medical review focused specifically on hospice, which includes Targeted Probe and Educate, since September 2021.
Hospice Certificate of Terminal Illness (VIDEO)
This Monday Minute reviews the requirement of the certifying physician to create a clinical narrative, specific to the patient, as a part of hospice certification.
Update on the Notice of Admission NOA 2022 (VIDEO)
This Monday Minute will review the confirmed requirement that all home care agencies will have to request exception on ALL late NOAs, even if it was a MAC claims processing system error.
We will provide the links to the Medicare MAC websites, specifically to the claims processing logs.
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Critical Medical Review Assistance for Your Home Care or Hospice Agency
Home care and hospice industries are subject to multiple layers of review by government contractors. This is an ongoing process, and a critical need, where your agency may need guidance to prevent inaccurate results and a negative effect on your agency’s operations.
The HPS medical review consulting team can assist with reviewing charts that have been selected for Targeted Probe and Educate (TPE).