Do the Right Thing: Leading a Federally Qualified Health Center's Response to a Medicare Targeted Probe & Educate (TPE) Audit

Robyn M. Hoffmann, Corporate Compliance Officer and QI Liaison, Fair Haven Community Health Clinic.

October 28, 2019

  • How to articulate the key requirements and potential outcomes of a Medicare Targeted Probe & Educate (TPE) audit to a Federally Qualified Health Center’s Administration, clinical leadership, and Board of Directors

  • How to develop an inter-departmental timeline and workflow to ensure a Federally Qualified Health Center’s timely response to the Medicare Administrative Contractor (MAC)

  • How to address Medicare TPE Round 1 findings pertaining to treatment plan documentation in the electronic health record (EHR) and ensure that Medicare enrollees are only booked with providers that meet Medicare’s “core practitioner” requirements

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