TPE Audit Activity Level HIGH – Strategic Response Required
Webinar • October 7, 2026 • 10:00 am —11:30 am CST
The ongoing and increasing levels of scrutiny in the industry are contributing to increased audit activity that is impacting home health and hospice providers across the state. Targeted Probe and Education (TPE) audits are ongoing in Missouri being conducted by CGS the current J15 HHH Medicare Administrative Contractor.
It is imperative that providers understand these audits, how to know if they are selected for audit and know what steps to take while under the audit.
TPE Audits require that the provider’s claim denial rate remain under the CGS defined claim denial threshold in order to prevent moving on to the next round audit. Providers may experience up to three rounds of TPE audits which if failed, will result in reporting and further action by CMS which could include a variety of actions including removal of billing privileges.
Agencies must take an intentional and strategic approach to the audits so that they position themselves to successfully navigate the round and reduce the risks for any avoidable denials.
Join this session to the learn important key steps to take and strategies to implement if you are Targeted for the Probing and Educating.
Define the Targeted Probe and Educate Audit Process and what to expect as a provider
Explore strategies to consider responding to the audit in an efficient and effective manner
Discss next step options if your organization has already failed a round(s) of TPE
Speakers: Elizabeth Wilson, CPA Managing Director, Forvis Mazars and Angela Huff, RN, Senior Manager, Forvis Mazars
Registration Price: MACH Members - Free; Non-Members - $79.00
Registration Fees: The cost of this education is per attendee, registrations may not be shared between agencies. Your registration covers the access of only one log in to the webinar. Registrants are encouraged to log in to the program at least 15 minutes prior to the start time. Additional logins will be charged an additional registration fee.
Cancellations: Refunds will NOT be issued for cancellations received 7 days or fewer prior to the event and non-paid registrations will be billed full conference price. Cancellations must be received in writing. Cancellations received more than 7 days prior to the event will receive a 90% refund.
Confirmation: Prior to the webinar, a link to the webinar will be e-mailed to you along with any dialing instructions. Handouts, and any other related materials will be sent shortly before the program to the email address you provide.
Continuing Education Credits: There is no CE credit for this webinar.
*If you want a PDF file of the registration to fill out, please click here.