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 21% of Jurisdiction D enteral claims for HCPCS codes B4150 and B4152 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