article thumbnail

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.

article thumbnail

Home Health CoPs Update: New Opportunities for OTs

Relias

OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs). Under previous rules, an OT was not authorized by Medicare to conduct an initial assessment in home health. OTs Can Conduct Medicare Initial Assessment.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

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. Caregivers can take action to prevent pressure sores in older clients and avoid negative outcomes that can follow.

article thumbnail

What I Learned About Navigating the Mental Health System

Beautiful Voyager

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. I still feel it did help me get further down the path to wellness, but I don’t think it is a long-term solution. This is a problem.