PEPPER reports available

Posted on: 10/3/18

The Texas Medical Foundation contracts with CMS to develop, produce and disseminate provider-specific comparative data reports, referred to as the Program for Evaluating Payment Patterns Electronic Report, or PEPPER. PEPPER summarizes a provider’s Medicare claims data for areas that have been identified as at higher risk for improper Medicare payments. Providers can use the PEPPER to identify where they may be at higher risk for improper payments so they can consider whether they should take any action, such as reviewing a sample of records to ensure care provided was necessary and that documentation supports the diagnosis codes and services billed.

You are encouraged to access this free comparative billing report and utilize it as a tool to support your auditing and monitoring efforts. For more information and assistance, click here to read a factsheet. (LaWanna Halstead)

OHA Data Solutions 

Introducing a new initiative to improve the quality and timeliness of inpatient and outpatient encounter data available to hospitals in Oklahoma.

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