Free Hospice PEPPER Training To Be Offered

The Health Quality Institute is offering a free webinar on Thursday, October 1 to review updates in the recent PEPPER release, common questions and answers, and the new method for accessing the hospice PEPPER. The webinar will be presented by TMF Health Quality Institute educator, Kimberly Hrehor. It is not necessary to pre-register for this event; simply click on the link approximately 10 minutes prior to the scheduled start time to ensure you are able to join the event on time.

Date and Time: Thursday, October 2, 2014 2 p.m. EasternPEPPERWebsiteLogo
Event address for attendees: https://tmfpepper.webex.com/tmfpepper/onstage/g.php?d=920733053&t=a

Event number: 920 733 053
Event password: autumn

The handout will be available October 1, 2014 on the Hospice Training and Resources webpage.

Hospice PEPPER User Guide

What is PEPPER?

The Hospice PEPPER is a report that summarizes a hospice’s Medicare claims data in areas that may be at risk for abuse or improper payment. PEPPER compares a hospice’s claims data statistics with aggregate statistics for other hospices in the nation, MAC jurisdiction and the state. Hospices with high billing patterns (at or above the national 80th percentile) are identified as at risk for improper Medicare payments and are encouraged to ensure that they are complying with Medicare payment policy, that services provided to beneficiaries are medically necessary and that medical record documentation supports the services that are billed.

PEPPER cannot identify the presence of improper payments. Only a review of the medical record can determine whether services are medically necessary and appropriately billed.

Distribution Schedule

TMF will distribute PEPPER according to this schedule and methods.

Demonstration PEPPER:

  • Demonstration PEPPER version Q4FY13 (289 KB XLS, updated 3/19/2014)

Other Resources:

  • View the list of Hospice PEPPER target areas (19 KB Word, updated 3/19/2014).
  • View this slide presentation (PPT file, updated 7-11-2013) on percents and percentiles to help understand the differences between “percent” and “percentile” and how they are used in PEPPER.