TPE audit process? TPE audit? What is TPE?

  • November 15, 2022
    10:00 am EST - 11:30 am EST


Login Credentials Provided to Attendees, Live Online Webinar

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Event Phone: (954) MDS-3-ADL

What You’ll Learn

CMS created a Targeted Probe and Education Program (TPE) to assist suppliers and providers in reducing claim denials with one-on-one education from a MAC (Medicare Administrative Contractor). The MACs work with facilities to improve the claims process by identifying and correcting errors before submission for payment. TPE’s focus on suppliers and providers having high claim error rates, unusual billing practices, and are a high risk to Medicare. Nursing facilities need to educate the interdisciplinary team ensuring their knowledge on the RAI reimbursement criteria and required documentation.

Attendees of this seminar will learn how to:

1) Describe a TPE audit and the process
2) Discuss documentation requirements to support skilled services
3) Create an audit and monitoring system for compliance with documentation

Our Presenter – Jessica Stucin, RN, BSN, LNHA

Jessica has been a Registered Nurse for over 20 years with a focus on long-term care after starting out in a critical care setting. In addition, Jessica has extensive experience as an MDS Coordinator and recently obtained her Nursing Home Administrator License.

Jessica has held various nursing positions such as clinical staff nurse, charge nurse, assistant director of nursing and Director of Nursing. In 2020, she completed her Bachelor’s in Nursing, and completed the Core of Knowledge in Ohio. Jessica’s expertise is in MDS, care planning, survey process, quality measures, risk management, utilization review, clinical reimbursement and case mix.
Jessica Stucin

Who Is This For?

  • Directors of Nursing
  • MDS Coordinators and interdisciplinary team
  • Administrators
  • QAPI/QAA coordinators,
  • Compliance and Ethics Officer,
  • Business Office Manager

Workshop Details

  • Schedule: 10:00 to 11:30 pm eastern time
  • Access instructions and course materials are emailed