{"id":157,"date":"2018-04-12T07:00:49","date_gmt":"2018-04-12T07:00:49","guid":{"rendered":"https:\/\/advantagehcconsulting.com\/blog\/?p=157"},"modified":"2018-04-06T14:53:08","modified_gmt":"2018-04-06T14:53:08","slug":"medical-review-pay-attention-to-midstream-tpe-education","status":"publish","type":"post","link":"https:\/\/advantagehcconsulting.com\/blog\/2018\/04\/12\/medical-review-pay-attention-to-midstream-tpe-education\/","title":{"rendered":"Medical Review: Pay Attention To Midstream TPE Education"},"content":{"rendered":"<div id=\"attachment_158\" style=\"width: 859px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-158\" class=\"size-full wp-image-158\" src=\"https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/04\/Medical-Review.jpg\" alt=\"\" width=\"849\" height=\"566\" srcset=\"https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/04\/Medical-Review.jpg 849w, https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/04\/Medical-Review-300x200.jpg 300w, https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/04\/Medical-Review-768x512.jpg 768w, https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/04\/Medical-Review-210x140.jpg 210w\" sizes=\"auto, (max-width: 849px) 100vw, 849px\" \/><p id=\"caption-attachment-158\" class=\"wp-caption-text\">Businesswoman Looking At Document Through Magnifying Glass<\/p><\/div>\n<p><span style=\"color: #ffffff;\"><strong><em>Improving your billing rate in the middle of a Targeted Probe &amp; Educate round could save you.<\/em><\/strong><\/span><\/p>\n<p>Seeing the error of your billing ways \u2014 and changing them immediately \u2014 could get you off punishing Targeted Probe &amp; Educate review, a recent question and answer from Medicare suggests.<\/p>\n<p><span style=\"color: #ffffff;\"><strong>Question:\u00a0<\/strong><\/span>\u201cWhat happens if there are errors in the claims reviewed?\u201d asked one home care provider, according to a recently posted Q&amp;A set from the\u00a0<strong>Centers for Medicare &amp; Medicaid Services<\/strong>.<\/p>\n<p><strong><span style=\"color: #ffffff;\">Answer:<\/span>\u00a0<\/strong>\u201cAt the conclusion of each round of 20-40 reviews, providers\/suppliers will be sent a letter detailing the results of the reviews and offering a 1-on-1 education session,\u201d CMS answers in the Q&amp;A set. But Medicare Administrative Contractors \u201cwill also educate providers\/suppliers throughout the TPE review process, when easily resolved errors are identified, helping the provider to avoid additional similar errors later in the process. CMS\u2019 experience has shown that this education process is well received by providers\/suppliers and helps to prevent future errors.\u201d<\/p>\n<p><em>Note: See the Q&amp;As at\u00a0<a href=\"http:\/\/www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/Medical-Review\/Downloads\/TPE-QAs.pdf\">www.cms.gov\/Research-Statistics-Data-and-Systems\/Monitoring-Programs\/Medicare-FFS-Compliance-Programs\/Medical-Review\/Downloads\/TPE-QAs.pdf<\/a>.<\/em><\/p>\n<p><a href=\"https:\/\/www.supercoder.com\/coding-newsletters\/my-homecare-week-alert\/medical-review-pay-attention-to-midstream-tpe-education-157262-article\"><i><span style=\"font-weight: 400;\">Source- SuperCoder<\/span><\/i><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Improving your billing rate in the middle of a Targeted Probe &amp; Educate round could save you. Seeing the error of your billing ways \u2014 and changing them immediately \u2014 &hellip; <a class=\"readmore\" href=\"https:\/\/advantagehcconsulting.com\/blog\/2018\/04\/12\/medical-review-pay-attention-to-midstream-tpe-education\/\">Continue Reading &rarr;<\/a><\/p>\n","protected":false},"author":1,"featured_media":158,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[11,12,13,14],"class_list":["post-157","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-review","tag-home-care","tag-hospice","tag-ltc","tag-snf"],"_links":{"self":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/comments?post=157"}],"version-history":[{"count":1,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/157\/revisions"}],"predecessor-version":[{"id":159,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/157\/revisions\/159"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media\/158"}],"wp:attachment":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media?parent=157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/categories?post=157"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/tags?post=157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}