Author(s) WPS Government Health Administrators J5 Part A

Journal . Date of publication 2018 Jan 1;volume ():.

Abstract CMS has authorized WPS GHA to conduct the Targeted Probe and Educate (TPE) review process. This is a required process for providers identified by Medical Review. The TPE review process incudes three rounds of prepayment or post-payment probe review with education. If high denial rates continue after three rounds of review, WPS GHA will refer the provider and results to CMS.

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