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Understanding the PEPPER Can Reduce Home Health and Skilled Nursing Audit Risks

Relias

Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.

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How to Keep Patients Satisfied — and Raise Your Patient Satisfaction Scores

Relias

As they consider new ideas to raise patient satisfaction, healthcare leaders must have an understanding of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring system that evaluates these efforts. Organizations can use data to tailor their interactions and interventions to their own patient population.

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Hospice Billing Compliance: The Latest PEPPER Updates

Relias

The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide. PEPPER provides each hospice organization’s paid Medicare claims for the last three fiscal years. Jurisdictional or Medicare Administrative Contractor (MAC). PEPPER Target Areas.

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American Dementia: Brain Health in an Unhealthy Society

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Soon, Medicare will issue a decision about whether they will cover Aduhelm (Aducanumab) – the new Alzheimer’s Disease (AD) treatment – the expensive and controversial medication approved by the FDA last June with mixed support from the scientific and Alzheimer’s community. These guys shake trees.

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Care Coordination: The Key to Improving Patient Outcomes

Relias

” The Centers for Medicare and Medicaid Services (CMS) defines care coordination more holistically as “the process of ensuring that the patient’s health needs and preferences for health information and services are met across the continuum of care.”

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The Payoff of Wound Care Education: Get a Return on Your Investment

Relias

Reducing the number of hospital- or facility-acquired pressure injuries, which are nonreimbursable. Reducing hospital readmission rates by consistently attending to risk factors. Chronic wounds affect about 15% of Medicare beneficiaries each year. Reduce Hospital Readmissions. Build Your Reputation as a Specialist.

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Reducing Maternal Mortality: Will the ‘Birthing-Friendly’ Hospital Designation Help?

Relias

­The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. The new measures included the Birthing-Friendly hospital designation to help reduce maternal mortality and morbidity.