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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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7 Steps To Prevent Pressure Sores

Relias

The Centers for Medicare and Medicaid Services (CMS) requires all health facilities in the Medicare program to track and report data reflecting pressure injury development on all clients. The Agency for Healthcare Research and Quality’s patient safety tool, Preventing Pressure Ulcers in Hospitals , also provides helpful guidance.

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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 is a yearly report given to hospices, skilled nursing facilities, inpatient and outpatient rehabilitation centers, and other U.S. Jurisdictional or Medicare Administrative Contractor (MAC).

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Severe Wound Care Is Shifting to Post-Acute Care

Relias

Since 2016, fewer patients with severe wounds have received care in long-term care hospitals, and more patients have gone to less costly facilities like inpatient rehabilitation and skilled nursing facilities. billion in fiscal year 2016 to $2.01 billion in fiscal year 2018.

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What I Learned About Navigating the Mental Health System

Beautiful Voyager

I was entrusted to a mental hospital in Brattleboro, Vermont at age fifteen. This would be the first of many unsuccessful psychiatric hospital stays. I begin looking further into more advanced rehabs, but research has shown me that I couldn’t find one mental rehabilitation center that accepted Medicaid or Medicare in the US.