PEPPER: Reduce Risk and Improve Revenue Integrity

Upcoming Webcast

Presented on:
Tuesday, May 3, 2016
1:00–2:30 p.m. Eastern

Presented by:
Janet Potter, CPA, MAS
Melissa Korey

Sponsored by:
Revenue Cycle Daily Advisor

Level of Program:
Intermediate

With the ongoing audits pertaining to the 2-midnight rule and the potential for more severe penalties, a comprehensive Program for Evaluating Payment Patterns Electronic Report (PEPPER) is, now more than ever, a great benchmark for overall readmission reduction and value-based purchasing.

During this program, expert speakers William L. Malm, ND, RN, CRCR, CMAS, and Kurt Hopfensperger, MD, JD, explain the most up-to-date information on PEPPER for 2016, including the addition of the defibrillator implant category, and break down what the report means for hospitals. Attendees will discover advanced techniques for transforming raw PEPPER data into a powerful tool for risk reduction, defense against external audits, and proactive internal audits. They’ll also learn how PEPPER can be used to protect and improve revenue integrity, as well as refine operational processes and measurements. Case studies give real-life context to theories and techniques.

Agenda

Getting the most out of PEPPER

Identifying percentages vs. percentiles
Selecting who has access to your PEPPER data
How to get your facility’s PEPPER
How Medicare uses PEPPER to find outliers
Understanding the denominator and numerator

Deploying PEPPER for audits

How to validate PEPPER data using hospital charts

Using PEPPER

Revenue management
Value-based purchasing
Process improvement
Operational measurements

Case studies: Medicare’s logic for PEPPER

Medical necessity

One-day medical stays
COPD
Spinal fusion

Readmission
Coding

Simple pneumonia
MCCs

Seven tips for PEPPER success
Live Q&A

Price: $259

Meet the Speakers

William L. Malm, ND, RN, CRCR, CMAS, is a managing director at Health Revenue Integrity Services. e is a nationally recognized author and speaker on topics such as healthcare compliance, chargemasters, and CMS recovery audits. Malm brings over 25 years of experience with a combination of clinical and financial healthcare knowledge that encompasses all aspects of revenue integrity.

Kurt Hopfensperger, MD, JD, serves as vice president, compliance and physician education at EHR. Prior to joining EHR, he practiced as a board-certified neurologist, serving as the medical director of patient safety and chair of the employed physician group at Cheyenne Regional Medical Center, as well as in private practice with Wyoming Neurology, Cheyenne Medical Specialists, and Medical Arts Associates in Moline, Illinois.

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