Today, CMS released more details on the medical review program since announcing audits would resume on August 3. This week's CMS MLN Connects newsletter included the headline "MACs Resume Medical Review on a Post-Payment Basis".
In the article, it is explained that the MACs are resuming fee-for-service medical review activities, beginning August 17. Specifically, the MACs are resuming with post-payment reviews of items/services provided before March 1, 2020 and that the Targeted Probe and Educate (TPE) program will restart later. The MACs will continue to offer detailed review decisions and education as appropriate.
In an earlier blog post, we shared that TPE would be on hold and postpayment audits would resume, however, at that time there were no official start dates.
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