TMF® Health Quality Institute (TMF) released the Hospice PEPPER in June 2015. Today, the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for home health agencies will be made available.
The free PEPPER summarizes home health claims statistics for areas that may be at risk for improper Medicare payments and compares an agency's Medicare billing practices with other agencies in the nation, MAC jurisdiction, and state.
The home health PEPPER contains claims data statistics for:
- Average case mix
- Average number of episodes
- Episodes with 5 or 6 visits
- Non-Low Utilization Payment Adjustment (LUPA) payments
- High therapy utilization episodes
- Outlier payments
On July 30, a WebEx training session introducing and reviewing the PEPPER will be held. Registration is not required. More information may be found here.