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Targeted Probe & Educate (TPE)

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12th Grade - Professional Development

Used 10+ times

Targeted Probe & Educate (TPE)
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10 questions

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1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The objectives of Targeted Probe & Educate are:

Identify/prevent inappropriate payment

Identify potential risk to the Medicare Trust Fund

Educate providers

Pay for covered services appropriately

All of these

2.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Providers receive TPE ADRs in an _________ envelope:

Bright Yellow

Bright Blue

Bright Pink

Bright Orange

3.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

How are TPE reviews selected?

Data analysis

Improper payment reduction strategy

CMS instruction

All of these

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

When do I start sending records for TPE review?

When I receive the Provider Notification letter

When I receive the ADRs

When I hear my specialty is being reviewed

When I receive the Detailed Provider Results letter

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

How many days will transpire between each probe allowing you to implement corrections?

45-56 days

30-44 days

57-75 days

6.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Providers can request one-on-one education on errors found after receiving the detailed provider results letter:

True

False

7.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

The MAC will request _________ claims per review round:

1-15

20-40

45-60

75+

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