Billing:
Where Is My Hospice PEPPER Report?
Published on Thu Nov 01, 2012
Some hospices to receive corrected reports.Not all hospices received a PEPPER report, but you should make sure you didn't get overlooked in error. Otherwise you'll lose access to the stats that reviewers and other authorities are using to potentially target your claims."Hospice PEPPER will not be available for every Medicare certified hospice provider," PEPPER contractor TMF Health Quality Institute explains in a recent question-and-answer set on the reports. "A Hospice PEPPER will not be available if the hospice does not have: eleven or more Medicare beneficiaries who were discharged alive with occurrence code '42' and had a length of stay of less than 25 days for any of the cap years 2009, 2010 or 2011, or eleven or more Medicare beneficiaries who received greater than180 days of service at the hospice within the respective cap year."In other words: "This means that the hospice does not have a large volume of [...]