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Please enjoy The Home Health Navigator Blog intended to provide an outlet for FORCE Billing and Coding to share valuable, timely information about Home Health Agency Billing, Coding, and Compliance. Experienced members of our staff will be providing insight on the issues they face every day. Please feel free to join in the discussion by asking questions, leaving comments, or sharing our blog posts with your colleagues.

Home Health Agencies: New PEPPER Available

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Posted: 22nd Feb 2017

A new Program for Evaluating Payment Patterns Electronic Report (PEPPER) for Home Health Agencies (HHAs) is available through the PEPPER Resources Portal. CMS contracts with TMF to produce and distribute these free reports that summarize HHA claims data statistics for areas that may be at risk for improper Medicare payments. HHAs can use the data to support internal auditing and monitoring activities. Compare your Medicare billing practices with other HHAs in the nation, Medicare Administrative Contractor jurisdiction, and state. The report includes:

• Average case mix

• Average number of episodes

• Episodes with 5 or 6 visits

• Non- Low-Utilization Payment Adjustment (LUPA) payments

• High therapy utilization episodes

• Outlier payments

For More Information:

• PEPPERresources.org, including a sample HHA PEPPER

• Distribution Schedule: How to Get Your PEPPER webpage

• HHA User Guide

• Submit questions to the Help Desk