Enteral Nutrition Targeted Probe and Educate Webpage

The DME MAC Medical Review department conducts a Targeted Probe and Educate (TPE) review of improperly paid claims. The quarterly results from January 2023 - March 2023 for Enteral Nutrition show that 36% of Jurisdiction A enteral claims for HCPCS codes B4034, B4150, B4153, and B4154 were improperly paid. The TPE webpage explains the top denial reasons and provides educational resources to keep the supplier community up-to-date.

 

Last Updated Aug 16 , 2023