Posted Saturday, July 24, 2021
The Home Health Program for Evaluating Payment Patterns Electronic Report (PEPPER) is available for download at the PEPPER Portal. PEPPER summarizes Medicare claims data statistics for a provider in “target areas” that may be at risk for improper Medicare payments, and compares the provider’s Medicare claims data statistics with aggregate Medicare data for the nation, Medicare Administrative Contractor (MAC) jurisdiction, and the state.
While the PEPPER cannot identify improper payments, it does help a provider to identify areas where its performance falls outside the norm and payments may be at risk.
There are three new target areas for home health this year and the High Therapy Utilization Episodes target area was deleted. Also, the Top Diagnoses Report and Top Therapy Episodes Report were deleted and a Top Clinical Groups Report was added. These changes were made to align the target areas and reports with the new risks associated with the PDGM.
This year’s target areas are outlined – Click here
Source: CMS
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For over 30 years, Corridor has partnered with home-based care providers, delivering powerful solutions to support the unique challenges of caring for patients in the home. Our team of operating executives, clinicians, and nationally renowned industry experts have run provider organizations and resolved the same challenges you face.
Focusing on key operational, regulatory and financial challenges, Corridor delivers solutions and deep expertise in coding, clinical documentation, compliance, billing and education.
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