• TPE and RAC Audits Put on Pause


    TPE and RAC Audits Put on Pause

    Question: During the current public health emergency, what is the status of the audits by the Centers of Medicare & Medicaid Services (CMS)?

    Answer: For the duration of the current public health emergency, Centers for Medicare & Medicaid Services (CMS) have stopped audits (PDF), including recovery audit (RAC) reviews.  Medicare Administrative Contractors (MACs) are beginning to announce a pause on medical reviews including Targeted Probe and Educate (TPE). 

    CMS does state, however, reviews will take place where there is potential fraud. 

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