Medicare TPE Audits: What Leaders Need to Know

Targeted Probe and Educate (TPE) audits are increasing nationwide, and skilled nursing facilities are feeling the pressure. As CMS expands data-mining methods, focuses on MDS-driven risk areas, and tightens scrutiny on therapy, nursing documentation, and medical necessity, leaders must recognize that audit preparedness is an essential component of operational stability and financial integrity.

In a recent discussion with Pathway Health’s Vice President of Clinical Services, Colleen Tobe, several key themes emerged about why audits are escalating, where organizations remain vulnerable, and how leadership can build strong systems that reduce risk while supporting defensible documentation. Tune into today’s PATHTalks episode to learn more.

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