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Get set for compliance. Get set for competition. Get set for improvements. Get set for success. The third edition of PEPPER or the Program for Evaluating Payment Patterns Electronic Report is just around the corner. Is your agency ready to leverage all it has to offer?
PEPPER, sponsored by the CMS is a free educational tool that:
PEPPER for HHAs summarizes data on the following areas:
PEPPER can support your agency’s compliance by helping self-monitor its billing practices and compare its activities with other HHAs nationwide to determine whether it is an outlier in its practices while identifying possible subjects of special review by the OIG.
PEPPER also helps identify areas of concern and even suggest ways your agency can respond. The report also reflects areas of improvement and success.
The state-wide and national PEPPER benchmarks are accessible to the general public.
However only your agency’s CEO, President or Administrator can access information about your specific agency and your specific MAC jurisdiction. Not even MACs can access PEPPERs for agencies under their jurisdiction.
CMS continually analyzes claims data to guide Medicare payment reform, check if agencies are adhering to coverage rules, and to monitor industry trends. CMS uses three years of Medicare claims data for agencies nationwide. This data goes into PEPPER. The reports are released every year at pepperresources.org. Expect the report for HHAs around July 17th. The HHA PEPPER with statistics through December 2015 has been available through the PEPPER Resources Portal since July 14, 2016. Each HHA PEPPER is available for two years from the original release date.
The HHA PEPPER can be accessed electronically via the PEPPER Resources Portal. To access your HHA’s PEPPER, the CEO, President, Administrator or Compliance Officer of your HHA should:
So get ready for audit scrutiny. Get ready for improvements. This July, get access to your HHAs PEPPER report and leverage it for success.