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HOMETOWN HEALTH PEPPER REPORTS. HTH PEPPER REPORTS. Information can be found: Federal Register Department of Health and Human Services/Office of the Inspector General . Pepperresources.com. HTH PEPPER REPORTS. What is a PEPPER report?

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Hometown health pepper reports

HOMETOWN HEALTHPEPPER REPORTS


Hth pepper reports
HTH PEPPER REPORTS

Information can be found:

  • Federal Register

  • Department of Health and Human Services/Office of the Inspector General.

  • Pepperresources.com


Hth pepper reports1
HTH PEPPER REPORTS

What is a PEPPER report?

  • Program for Evaluating Payment Patterns Electronic Report

    • Microscoft Excel Workbook

    • Information from filed Medicare Claims

    • Compares your Hospital’s data to state and national information


Hth pepper reports2
HTH PEPPER REPORTS

Availability:

  • Short Term Acute Care PPS Hospitals

  • Long Term Acute Care PPS Hospitals

  • Critical Access Hospitals

  • Inpatient Psychiatric Hospital

  • Rehabilitation Facilities

    1st Quarter – October through December

    2nd Quarter – January through March

    3rd Quarter – April through June

    4th Quarter – July through September


Hth pepper reports3
HTH PEPPER REPORTS

  • How do I use this report???

  • You will be able to identify the target areas that CMS looks at

  • You will be able to change your Utilization Review habits

  • You will be able to identify over or under coding


Hth pepper reports4
HTH PEPPER REPORTS

Target Areas:

  • List of target areas can be found on the pepperresourse.com

    29 Target areas

    Why focus on target Areas?

  • This is what CMS is looking at. This CAN and WILL affect your reimbursement!!!!


Hth pepper reports5
HTH PEPPER REPORTS

Percentages:

  • Flag – at or above 80% in risk areas

  • Flag – lower than 20% for coding-related risk

  • Look at your Compare Worksheet first.


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HTH PEPPER REPORTS

Revenue Cycle:

  • Ancillary Department Managers

  • Patient Financial Services

  • HIM

  • Coder

  • Utilization Review

  • CNO

  • CFO

  • Compliance officers


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HTH PEPPER REPORTS

Revenue Cycle Meetings:

  • Review the PEPPER Report.

  • Pull reports from your HIS for validation

  • Review patient records


Hth pepper reports8
HTH PEPPER REPORTS

Revenue Cycle Plan:

  • Identify the problem

  • Develop a plan

  • Put the plan in place

  • Monitor for improvement


Hth pepper reports9
HTH PEPPER REPORTS

Example of plan:

  • Hospital notices their “readmission” is high.

  • Pull all records


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HTH PEPPER REPORTS

One Day Stays…

Ugly words but it happens….

READ, LEARN, UNDERSTAND PEPPER REPORTS

STUDY, PLAN, DEVELOP, INSTITUTE PLANS

RACS ARE USING THIS DATA….

WHY SHOULDN’T YOU?