WPS Targeted Probe and Educate Problem Error Rates

April 30, 2026
 / 
Rick Gawenda
 / 

Wisconsin Physician Services (WPS) has published the results of their recent Targeted Probe and Educate (TPE) audit. The TPE impacted Indiana and Michigan and CPT codes 97112 and 97530.

For private practices, the results of the TPE audit for 97112 was a 15% error rate. For all other settings, the results of the TPE audit for 97530 was a 23% error rate.

Most likely, the two main issues were:

  1. Documentation did not support the CPT code billed
  2. Documentation did not support the skills of a therapist were required to provide

if you have a concern about the documentation, or lack thereof, occurring in your practice or organization, I would recommend the following 2 webinars:

  1. 2026 Documentation for Evaluations and Reevaluations for PT, OT, and SLP
  2. 2026 Documentation for Everything After the Initial Evaluation for PT, OT, and SLP

All material posted on our website is the intellectual property of Gawenda Seminars & Consulting, Inc. and can’t be used, reproduced, or posted as your own material without the prior written approval of Gawenda Seminars & Consulting, Inc.

This article is not intended to and does not serve as legal advice or as consultative services, but is for general information purposes only.

Leave a Reply

Your email address will not be published. Required fields are marked *

This site uses Akismet to reduce spam. Learn how your comment data is processed.