New Target Area for Hospice PEPPER

The 2021 release of the Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER), anticipated spring  2021, will include at least one new target area – Average Number of Part D Claims per Hospice Episode.  This target area will measure the count of Medicare Part D claims for beneficiaries billed during hospice episodes in the…

New Home Health Agency PEPPER Available

The Q4CY19 release of the Home Health Agency (HHA) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through December 2019 is now available for download through the PEPPER Resources Portal. To obtain your agency’s PEPPER, the Chief Executive Officer, President, Administrator Compliance Officer, or Quality Assurance/Performance Improvement Officer should: Review the Secure PEPPER Access Guide. Review the instructions and…

Hospice PEPPER Available & Key CMS Updates for Hospice & Home Care in New Open Door Forum

Hospice PEPPER Available The Hospice PEPPER (Program for Evaluating Payment Patterns Electronic Report) is now available. PEPPER is a data report that contains a single hospice’s claims data statistics (obtained from the UB-04 claims submitted to the Medicare Administrative Contractor (MAC)) for areas targeted by CMS as being at risk for improper Medicare payment. Each…

CMS Directs Release of PEPPER

The annual release of the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for all provider types was put on hold by the Centers for Medicare & Medicaid Services (CMS) at the beginning of the current Public Health Emergency (PHE).  The hospice PEPPER is usually released in April and the home health PEPPER is usually…

Have You Retrieved Your Hospice PEPPER?

Don’t miss this NAHC webinar on how to understand and use PEPPER. It’s free to members! As previously reported, the Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER) became available for hospices to download at the beginning of April. The PEPPER is only available via download from the PEPPER Resources portal.  PEPPER is a…