April 6, 2017
11:30 AM – 1:00 PM CT
Please join TxHIMA and Kimberly Hrehor, MHA, RHIA, CHC for this highly engaging webinar, also available as an on-demand recording and eligible for 1.5 CEUs.
Kimberly Hrehor is a Director with TMF Health Quality Institute. She manages a contract with CMS to develop, produce and distribute the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for hospitals and other health care providers. She develops training and reference materials to help providers understand and use PEPPER. Kim has been with TMF since 1998 after six years at an inpatient rehabilitation facility. Kim’s work experience includes health information management, compliance and performance improvement.
This session will provide an introduction to the Program for Evaluating Payment Patterns Electronic Report, also known as PEPPER. It will review the history of PEPPER, the target areas and how they were identified for inclusion, and a brief review of the types of reports in the PEPPER and how they can be interpreted.
PEPPER is a free report available to hospitals through a contract with CMS as an educational tool to support hospitals’ efforts to proactively identify and prevent improper Medicare payments by supporting the auditing and monitoring component of a compliance program. PEPPER is designed to identify potential coding/billing errors as well as concerns related to unnecessary admissions/care. As regulatory efforts increase, hospitals can use the PEPPER to compare their billing statistics in areas identified as “at risk” for improper Medicare payments and consider whether they should audit a sample of medical records.
Who Should Attend:
Health Information Managers (HIM), Chief Financial Officers, Quality/Performance Improvement professionals, Physician Practice and HIM Coding Directors/Managers and Coding professionals, Coding Compliance Managers and Staff, CDI Staff, Coding Consultants, Coding Auditors and those who work in Managed Care.