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Targeted Probe and Educate Audits Effective October 1, 2017, by the Macs CMS has issued Change Request: 10249 which is to be implemented by October 1, 2017. In each of these previous Probe & Educate
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To fill out targeted probe and educate, follow these steps:
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Gather all relevant information and documentation that will be required during the process.
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Identify the specific areas or topics that need to be targeted for probing and education.
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Prepare a structured plan or questionnaire to guide the probing and education process.
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Conduct targeted probe and educate sessions with the individuals or groups who need to be educated.
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What is targeted probe and educate?
Targeted probe and educate is a program used by Medicare Administrative Contractors (MACs) to review claims and educate providers on proper billing practices.
Who is required to file targeted probe and educate?
Healthcare providers who bill Medicare for services rendered.
How to fill out targeted probe and educate?
Providers must respond to documentation requests from MACs and participate in education sessions.
What is the purpose of targeted probe and educate?
The purpose is to reduce improper payments and billing errors by educating providers on correct billing practices.
What information must be reported on targeted probe and educate?
Providers must report documentation supporting the services billed to Medicare.
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