A new Program for Evaluating Payment Patterns Electronic Report (PEPPER) for Home Health Agencies (HHAs) is available through the PEPPER Resources Portal. CMS contracts with TMF to produce and distribute these free reports that summarize HHA claims data statistics for areas that may be at risk for improper Medicare payments. HHAs can use the data to support internal auditing and monitoring activities. Compare your Medicare billing practices with other HHAs in the nation, Medicare Administrative Contractor jurisdiction, and state.
The report includes:
• 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
For More Information:
• PEPPERresources.org, including a sample HHA PEPPER
Submit questions to the Help Desk
The Medical Management Institute – MMI – Medical Coding News & MMI Updates