Why Do Medicare Administrative Contractors Deny for “Skills of Therapist Not Supported”?

Maybe you have been involved in a Training, Probe and Educate (TPE) audit for your Medicare Part B claims this year. If so, you are not alone. The Medicare Administrative Contractors (MACs) have been focusing on Physical Therapy (PT), Occupational Therapy (OT) and Speech Language Pathology (SLP) documentation and the TPE is a common way to capture the attention of providers. The Centers for Medicare & Medicaid Services (CMS) TPE provides a full explanation of…