Targeted Probe and Educate


The Centers for Medicare & Medicaid Services (CMS) has initiated Targeted Probe and Educate (TPE). For TPE, MACs will focus only on providers/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 Education Overview Video





Targeted Probe and Educate Articles


Targeted Probe and Educate Progress Update: Infliximab J1745Targeted Probe and Educate Progress Update: DRG 470 - Major Joint ReplacementTargeted Probe and Educate Progress Update: Inpatient Rehab Facility A0604, B0604, C0604 and D0604Targeted Probe and Educate Progress Update: Rituximab J9310/J9312Targeted Probe and Educate Progress Update: Neuromuscular Re-education - 97112Targeted Probe and Educate Progress Update: DRG 291 Heart Failure and Shock with MCC and DRG 292 Heart Failure with CCTargeted Probe and Educate Progress Update: HBO Therapy G0277Targeted Probe and Educate Progress Update: DRG 682-683Targeted Probe and Educate Progress Update: HBO Therapy G0277Targeted Probe and Educate Progress Update: Bevacizumab J0935Medical Review Administrative Relief Related to the Novel Coronavirus (COVID-19) PandemicTargeted Probe and Educate Progress Update: Rituximab J9310Targeted Probe and Educate Progress Update: DRG 291 Heart Failure and Shock with MCC and DRG 292 Heart Failure with CCTargeted Probe and Educate Progress Update: Infliximab J1745Targeted Probe and Educate Progress Update: Skilled Nursing Facility (SNF)Targeted Probe and Educate Progress Update: Manual Therapy - 97140Targeted Probe and Educate Progress Update: Denosumab J0897Targeted Probe and Educate Progress Update: Manual TherapyTargeted Probe and Educate Progress Update: DRG 885Targeted Probe and Educate Progress Update: DRG 682/683 Renal Failure with MCC/CCTargeted Probe & Educate (TPE) Provider ContactTargeted Probe and Educate Progress Update: Pegfilgrastim J2505Targeted Probe and Educate Progress Update: Pegfilgrastim J2505Targeted Probe and Educate Progress Update: Therapeutic Exercise 97110Targeted Probe and Educate VideoTargeted Probe and Educate Progress Update: Therapeutic ExerciseTargeted Probe and Educate Progress Update: Bevacizumab J0935Medical Review Program and Targeted Probe and Educate HandoutTargeted Probe and Educate Process ModuleAccess TPE Letters Electronically Job AidJM Part A, Part B and Home Health and Hospice Targeted Probe and Educate (TPE) Active Medical Review ListClaim Selection Process for Targeted Probe and Educate: S B6000 vs. S B6001Targeted Probe and Educate Resumed September 1, 2021Medicare Medical Review Hot Topics Webinar: Resumption of Targeted Probe and Educate for Jurisdictions J, M, HHH and Railroad on September 22, 2021