2025 TPE Audits and the Importance of Internal Auditing in Therapy Practices
The Centers for Medicare & Medicaid Services’ (CMS) 2025 Targeted Probe and Educate (TPE) audits continue to reveal the same issues—missing medical necessity details and incomplete plans of care. These gaps put therapy practices at risk of denials and penalties. Therefore, internal auditing is essential to ensure compliance and audit readiness. As payers and regulators increase scrutiny, documentation and billing are no longer just administrative tasks; they are crucial to reimbursement and long-term sustainability. Internal…
