Auditing and Monitoring to Mitigate PEPPER Report Vulnerabilities
The Program for Evaluating Payment Patterns Electronic Report, known as PEPPER, summarizes your hospice's Medicare claims in target areas that may be at risk for improper Medicare payments. This allows hospices to identify specific areas in need of focused attention.
Outlier hospices, which are hospices that are at or above the 80% percentile, are at higher risk for audit from government agencies. This webinar will assist your hospice with a plan to remediate issues.
The goal of this course is to educate the hospice team on how to use PEPPER data to identify risk areas for improper Medicare payments.
The Program for Evaluating Payment Patterns Electronic Report, known as PEPPER, summarizes your hospice's Medicare claims in target areas that may be at risk for improper Medicare payments. This allows hospices to identify specific areas in need of focused attention. Outlier hospices, which are hospices that are at or above the 80% percentile, are at higher risk for audit from government agencies. This webinar will assist your hospice with a plan to remediate issues. The goal of this course is to educate the hospice team on how to use PEPPER data to identify risk areas for improper Medicare payments.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.50 Nursing Contact Hours after successfully completing this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.50 contact hours for participating in this course.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.50 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Kansas State Board of Nursing
Kansas State Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Louisiana State Board Of Medical Examiners - Midwifery
Louisiana State Board Of Medical Examiners - Midwifery (CEBroker Provider #50-290)
Midwives will receive 1.50 contact hours for participating in this course.
Michigan Board of Nursing
Michigan Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
New Mexico Certified Nurse Midwives and Licensed Midwives
New Mexico Certified Nurse Midwives and Licensed Midwives (CEBroker Provider #50-290)
Midwives will receive 1.50 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Wyoming Board of Nursing
Wyoming Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.50 contact hours for participating in this course.
Determine how to leverage the PEPPER report to mitigate payment-related scrutiny.
Recognize the PEPPER target areas.
Identify how to read and analyze PEPPER findings for your hospice organization.
Outline:
Auditing and Monitoring to Mitigate PEPPER Report Vulnerabilities
PEPPER Report
PEPPER Report – Review and Analysis
PEPPER Review / Analysis Committee
PEPPER Review Process
PEPPER Analysis
PEPPER Plan
PEPPER Report – Assessing Payment-Related Risk
16 PEPPER Target Areas
Target Area Report – RHC in an ALF
Target Area Report – Long LOS
Target Area Report – Average Target Area Report – Average Part D Claims for ALF Patients
Target Area Report – Average Part B Claims for ALF Patients (New FY2022)
Compare Report Example
Top Terminal Diagnoses – Provider Most Recent Fiscal Year
Top Terminal Diagnosis - MAC Compare Most Recent Fiscal Year
Live Discharge by Type (Provider) Three Fiscal Years
Live Discharge by Type (MAC Compare) Three Fiscal Years
contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
