Medical review
TPE: Part B Review Topics
Targeted probe and educate (TPE) is one process that a MAC can utilize when providers are selected by medical review. View this updated listing of Part B TPE review topics.
Targeted Probe and Educate Round Results: Skilled Nursing Facility (SNF)
Review the top denial / partial denial reasons and high-level results of SNF targeted probe and educate (TPE) round results.
Targeted Probe and Educate Round Results: Skilled Nursing Facility (SNF)
Review the top denial / partial denial reasons and high-level results of SNF targeted probe and educate (TPE) round results.
Targeted Probe and Educate Round Results: Rehabilitation Services Outpatient
View these round results for rehabilitation services outpatient.
Targeted Probe and Educate Round Results: Rehabilitation Services Outpatient
View these round results for rehabilitation services outpatient.
Service-Specific Reviews
View these current post-payment service-specific reviews and available results.
Service-Specific Reviews
View these current post-payment service-specific reviews and available results.
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) Final Rule and related Medicare coverage requirements, including…
Signature requirements: Guidelines for authentication of Medicare services
Medicare requires that medical record entries for services provided/ordered/certified be authenticated by the persons responsible for the care of the beneficiary in accordance with Medicare’s…
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).