{"id":205,"date":"2018-05-02T07:00:13","date_gmt":"2018-05-02T07:00:13","guid":{"rendered":"https:\/\/advantagehcconsulting.com\/blog\/?p=205"},"modified":"2018-04-20T15:23:41","modified_gmt":"2018-04-20T15:23:41","slug":"medical-review-boosting-your-billing-accuracy-with-tpe-education-could-help-avoid-more-punishing-review","status":"publish","type":"post","link":"https:\/\/advantagehcconsulting.com\/blog\/2018\/05\/02\/medical-review-boosting-your-billing-accuracy-with-tpe-education-could-help-avoid-more-punishing-review\/","title":{"rendered":"Medical Review: Boosting Your Billing Accuracy With TPE Education Could Help Avoid More Punishing Review"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-206 alignleft\" src=\"https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/04\/utilization-review-1.jpg\" alt=\"\" width=\"400\" height=\"267\" srcset=\"https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/04\/utilization-review-1.jpg 400w, https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/04\/utilization-review-1-300x200.jpg 300w, https:\/\/advantagehcconsulting.com\/blog\/wp-content\/uploads\/2018\/04\/utilization-review-1-210x140.jpg 210w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/p>\n<p><span style=\"color: #ffffff;\"><em><strong>Don\u2019t wait until the round is over to implement improvements.<\/strong><\/em><\/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><strong><span style=\"color: #ffffff;\">Question:<\/span>\u00a0<\/strong>\u201cWhat happens if there are errors in the claims reviewed?\u201d asked one health 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-hospice-insider-alert\/medical-review-boosting-your-billing-accuracy-with-tpe-education-could-help-avoid-more-punishing-review-157399-article\"><i><span style=\"font-weight: 400;\">Source- SuperCoder<\/span><\/i><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Don\u2019t wait until the round is over to implement improvements. Seeing the error of your billing ways \u2014 and changing them immediately \u2014 could get you off punishing Targeted Probe &hellip; <a class=\"readmore\" href=\"https:\/\/advantagehcconsulting.com\/blog\/2018\/05\/02\/medical-review-boosting-your-billing-accuracy-with-tpe-education-could-help-avoid-more-punishing-review\/\">Continue Reading &rarr;<\/a><\/p>\n","protected":false},"author":1,"featured_media":206,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[11,12,13,14],"class_list":["post-205","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\/205","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=205"}],"version-history":[{"count":1,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/205\/revisions"}],"predecessor-version":[{"id":207,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/posts\/205\/revisions\/207"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media\/206"}],"wp:attachment":[{"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/media?parent=205"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/categories?post=205"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/advantagehcconsulting.com\/blog\/wp-json\/wp\/v2\/tags?post=205"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}