The PEPPER Report

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Does staff cohesiveness impact your organization success?

Leadership tools must include alternative effective forms of communication in order to achieve cohesiveness in an organization, read more...

CMS Quality Measurements Projects and the Goals

CMS is presently developing outcome core measures that are patient oriented and cross providers setting during the continuum of care.

Using Critical Thinking to create the patient plan of care.

The worst disservice a clinician can do their patient and employer is not to use critical thinking when developing, implementing, revising the patient's Plan of Care, see "Using "Critical Thinking" during clinical practice..."

Discipline Frequency and Duration Orders

Did you know that the Medicare week to write orders for treatments and/or frequency and duration varies from home health agency to home health agency? For more information see "Are you knew to the home…?”


Denials for Skilled Services Not Being Reasonable and Necessary

Tips on skill home care services not considered reasonable and necessary. According to CMS Palmetto, Medicare Home Health denials for the 1st quarter of 2015 reached over 12% due to...

Have your organization updated the Notice of Medicare Non-coverage (NOMNC) forms with the new QIO information?

Up-date your organization Notice of Medicare Non-Coverage (NOMNC) forms! Effective August 1, 2015 QIOs toll free number that appears in the Notice of Medicare Non-Coverage (NOMNC) has changed for Florida Beneficary in area 2: KEPRO - (844)455-8708

Ready for CMS QAPI Program?

According to CMS in 2011 several nursing homes providers begun testing CMS QAPI Program, Quality Assurance (QA) and Performance Improvement (PI), Program which includes Five Elements...

Can a home health agency provide care to a patient in a Day Care?

A patient that qualifies for the home health benefit under Medicare...


The PEPPER (Program for Evaluating Payment Patterns Electronic) Report is a free tool that can help home health organizations assess the risk for improper Medicare Payment. According to TMF Health Quality Institute who develop this free tools home health agencies can ustilize it to monitor their claims for potential risks as upcoding, increase number of episodes with 5-6 visits, more than 20 therapy visits during an early or late episode and others.



Take a look at the PEPPER  Portal by follow this link: PEPPER Portal 

        keyMore to come...