In 2012, CMS began development and release of Program for Evaluating Payment Patterns (PEPPER) reports for Medicare-certified hospices through its PEPPER contractor, TMF Health Quality Institute. As part of the PEPPER process, certain “target areas” within the Medicare hospice benefit that could be at risk for improper payment are identified, and the data related to target areas is analyzed. The PEPPER reports “supply an individual hospice’s data over three years’ time and also provide, for comparison, the same data for hospices, nationally, within the same Medicare Administrative Contractor (MAC) jurisdiction, and within the same state as the subject hospice.” The data allows a hospice to assess its performance and risks in the target areas. Starting in April, PEPPER reports are becoming available by way of an electronic PEPPER Resources Portal. TMF Health Quality Institute is expected to release the latest hospice PEPPER in mid-April. The PEPPER target areas for hospice have also been expanded.
Click here to see them and for more information from NAHC.
Click here to see the fourth edition of the PEPPER Hospice User’s Guide.