Home Health & Hospice Week
States' PEPPER Download Rates Range From 17% to 89%
Are you behind your competitors in checking out your stats in your PEPPER report? Information on PEPPER downloads may give you a clue. Reminder: “The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a Microsoft Excel file summarizing provider-specific Medicare data statistics for target areas often associated with Medicare improper payments due to billing, … coding and/or admission necessity issues,” PEPPER contractor RELI Group says on the PEPPER website. The states with the highest hospice PEPPER download rates are Florida at 89 percent and Maryland at 87 percent, RELI Group says on its Hospice PEPPER Retrievals web page. The states with the lowest PEPPER download rates are Wyoming with 17 percent and California at 28 percent, RELI Group indicates. Check out your state’s retrieval rate at https://pepper.cbrpepper.org/Training-Resources/Hospices/PEPPER-Portal-Retrieval-Map. Rates are updated daily, RELI Group says. 
Home Health & Hospice Week
- Hospice:
Proposed 2.7% Pay Increase Is Severely Inadequate, Hospices Warn CMS
Why are Medicare Advantage Organizations getting 8.5% while hospices will see much less? In a [...] - Reimbursement:
Here’s What’s Driving Up Hospice Costs — And May Soon Drive Hospices Out Of Business Altogether
The list of what isn’t causing costs to skyrocket may be shorter. Hospices hope there’s [...] - Mergers & Acquisitions:
Big Companies Move On Home Visit Deals
Plus: Two new developments have July 1 target dates. The world of home care continues [...] - HIPAA:
Look Inward For Threats To Your Cybersecurity
Whether it’s an accident or on purpose, you must protect yourself against internal security incidents. [...] - Industry Notes:
RCD Claims Problems Plague Providers
So much for that 10-day timeline for PCR decisions. Getting claims processed cleanly under the [...] - Industry Notes:
Medicare Recommends Potentially Lowering Costs For Beneficiaries
For your patients that were shocked by last year’s Medicare Part B premium increase, there’s [...] - Industry Notes:
MAC's Decision Tree Can Lead You To Correct Fee Application
Not sure whether you need to pay the application fee when enrolling, revalidating, or adding [...] - Industry Notes:
Ratio Of Original Medicare To MA Benes Is Close To Equal
If you’re wondering just how many new Medicare beneficiaries are in your potential patient pool, [...] - Industry Notes:
States' PEPPER Download Rates Range From 17% to 89%
Are you behind your competitors in checking out your stats in your PEPPER report? Information [...] - Industry Notes:
Beware New Claims Glitch
Look at your claims closely to determine whether a newly reported claims glitch is costing [...] - Industry Notes:
NHPCO Guide Helps Hospices Reach Out To Underserved Community
If you’re hoping to work on equity in hospice utilization, a new resource from The [...] - Industry Notes:
$87M Fraud Scheme Masterminds Plead Guilty
The big fish in the Moriarty Consultants Medicaid fraud case in Pittsburgh have finally had [...] - Industry Notes:
Concealed Crimes Lead To Charges
Medicaid home care agency owner in Florida has been charged with a felony after failing [...]
