[3694] Red Flags and the New Home Health PEPPER Reports
PEPPER identifies your agencies’ bad behavior...shows how you may be red flagging yourself to CMS and OIG!
Presentation Info:
- TAHC&H 53rd Annual Meeting | Round Rock | Rich-Media Capture | On-Line, On-Demand Access
- Presentation Date | September 1, 2022
Program Description: Have you checked your PEPPER? Did you even know you have a PEPPER? CMS uses PEPPER as a guide for
auditing and monitoring efforts. Although it does not identify improper payments, it can be used to identify practices that may lead that way. Petria will assist
you in utilizing the PEPPER for identifying and correcting behaviors around the Review Choice Demo and TPE. PEPPER identifies your agencies’ bad behavior that shows
you how you may be red flagging yourself to CMS and OIG. For CY2020 in Texas, only 34% of home health agencies have downloaded their reports. Of the available 1,667
reports available, only 571 reports have been downloaded. Nationwide the download rate is 48%.
HCSSA Topic(s) Addressed:
- §558.259[d][4]agency responsibilities
- §558.260[a][3]basic principles of management in a licensed health-related setting
- §558.260[a][7]financial management
Education-Training Credits:
- TX HCSSA Administrator/Alternate Continuing Education
- Continuing Education for Nurses
- 1.0 Contact Hr(s)
- This program awards CNE until 09.01.2024
Texas HCSSA CE Approval Statement
This program meets continuing education requirements for Administrators and Alternates under Texas HCSSA licensing regulations.
Nurse CE Approval Statement
Texas Association for Home Care & Hospice is an approved provider of continuing nursing education by Louisiana State Nurses
Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. LSNA Provider No. 4002151
Requirements for Successful Completion
To receive continuing education credits for this online presentation participant must view the entire online presentation, complete an evaluation, and post-test attestation.
Reporting of Perceived Bias
Bias, as defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA/LSNA) is the “tendency or inclination to cause partiality, favoritism, or influence.”
Commercial bias may occur when a CNE activity promotes one or more product(s) (drugs, devices, services, software, hardware, etc.). This definition is not all inclusive and participants may use
their own interpretation in deciding if a presentation is biased. The ANCC COA is interested in the opinions and perceptions of participants at approved CNE activities, especially in the presence
of actual or perceived bias in continuing education. Therefore, ANCC invites participants to access their “ANCC Accreditation Feedback Line” to report any noted bias or conflict of interest in the
education activity. The toll free number is 1(866) 262-9730.
TAHC&H Faculty/Presenter(s): Petria McKelvey, CEO, Precision Medical Billing
About the Presenter(s):
Petria McKelveyPetria’s expertise lies in hands on experience of billing for numerous home health and
hospice agencies throughout the years. She has been in the home health and hospice industry’s for over 21 years and has owned and operated Precision Medical Billing for
the past 17 years. She has supervised, hired, and trained 100s of medical billing staff and speaks regularly at home health association conferences.
[3694] Red Flags and the New Home Health PEPPER Reports