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TPE Process Targeted Probe and Educate (TPE)

Change Request 10249External PDF implemented the Targeted Probe & Educate (TPE) process, effective October 1, 2017. Based on data analysis of claims payment, CGS will identify areas with the greatest risk of inappropriate program payment. Refer to the Medical Review Activity Log Web page for a list of home health and hospice review topics. All service-specific and provider specific reviews as well as round two of the Home Health Probe & Educate Program will be phased out.




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