Targeted Probe and Educate

Published 12/05/2022

Targeted Probe and Educate Has Resumed

The Centers for Medicare & Medicaid Services (CMS) has initiated the Targeted Probe and Educate (TPE) program. For TPE, MACs will focus only on providers and suppliers who have among the highest claim error rates, or billing practices that vary significantly out from their peers. Please view the articles below for more information on TPE.

CMS Resumes TPE Program: 2021-08-12-MLNC | CMS.

CMS Targeted Probe and Educate Video 
The Targeted Probe and Educate (TPE) medical review process helps CMS and providers work together to improve medical claims by avoiding and correcting, through individualized education sessions, many common billing mistakes.

CMS Targeted Probe and Education Overview Video
This video is a simplified snapshot of how the Targeted Probe and Educate (TPE) process works.