CMS Resumes Targeted Probe & Educate

NAHC urges CMS to suspend TPE until the public health emergency ends The Centers for Medicare & Medicaid Services (CMS) indicated in an August 2021 MLNConnects newsletter that it will resume the targeted probe and educate (TPE) program that was suspended in March 2020 (as were most medical reviews) due to the COVID-19 public health…

Recovery Audit Contractor Adds Continuous Home Care Issue

The Recovery Audit Contractor (RAC), Performant, added a hospice issue this month to the list of CMS-approved issues, Issue 0201 – Hospice Continuous Home Care: Medical Necessity and Documentation Requirements. The review will determine if hospice Continuous Home Care (CHC) services were reasonable and necessary to achieve palliation and management of the patient’s acute medical…