CMS Updates Targeted Probe & Educate Information

The Centers for Medicare & Medicaid Services (CMS) published updated targeted probe and educate (TPE) information contained in Chapter 3 of the CMS Program Integrity Manual (Publication 100-08) through Transmittal 10132/Change Request (CR) 11695. The updates incorporate information about TPE practices providers have experienced, but were not clearly outlined in the Manual. This update includes…

CMS Issues New Waivers under the Conditions of Participation

The Centers for Medicare & Medicaid Services (CMS) has waived some significant provisions of the home health Conditions of Participation. The following items under the CoP have been waived by CMS. The initial evaluation under 484.55 (a) will not require an on-site visit and may be conducted remotely or through medical review. This does not…

Preparing for Hospice Targeted Probe and Educate (TPE)

Special thanks to Katie Wehri, CHPC, Healthcare Provider Solutions, Inc., (HPS) for writing today’s story on “Preparing for Hospice Targeted Probe and Educate (TPE)” and to HPS for use of their General Inpatient Level of Care and Medicare Hospice Election Forum audit tools. As previously reported, effective October 1, 2017, the Centers for Medicare &…