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Hospice PEPPER Available & Key CMS Updates for Hospice & Home Care in New Open Door Forum

July 30, 2020 3:37 PM | WiAHC Office (Administrator)

NAHC Report for July 30, 2020

Hospice PEPPER Available

The Hospice PEPPER, a data report that contains a single hospice’s claims data statistics (obtained from the UB-04 claims submitted to the Medicare Administrative Contractor (MAC)) for areas targeted by CMS as being at risk for improper Medicare payment, is now available.

Each Medicare certified hospice has access to a PEPPER (Program for Evaluating Payment Patterns Electronic Report), which contains statistics for these target areas, regardless of whether the hospice’s data are of concern. The report shows how a hospice’s data compares to national, MAC jurisdiction and state statistics for the three most recent years. Hospices must download their PEPPER via the PEPPER Portal.  

Hospices can also access a User’s Guide and other PEPPER resources from the PEPPER Resources webpage.

NAHC is planning for a Hospice PEPPER webinar to be held in the near future.

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Key CMS Updates for Hospice & Home Care in New Open Door Forum

The Centers for Medicare & Medicaid Services (CMS) held a Home Health, Hospice, & DME Open Door Forum (ODF) on July 29. This is the first ODF held since the current Public Health Emergency (PHE) began. A summary of this ODF is below.

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