Medicare Part A Admissions: Best Practices for Your Skilled Nursing Facility

PEPPER: Reduce Risk and Improve Revenue Integrity

Presented by:
William L. Malm, ND, RN, CRCR, CMAS
Kurt Hopfensperger, MD, JD

Presented on:
Tuesday, April 26, 2016
1:00–2:30 p.m. Eastern

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.

At the conclusion of this program, participants will be able to:

Analyze and assess key information in PEPPER
Learn how to use PEPPER as an audit and risk reduction tool
Demonstrate how PEPPER is used to evaluate and improve performance
Construct processes to put PEPPER to work for their facility
Show how PEPPER predicts and explains the actions of CMS and Recovery Auditors
Recognize how PEPPER is used to ensure overall success and Medicare compliance

Price: $259

Meet the Speakers

William L. Malm, ND, RN, CRCR, CMAS, is a managing director at Health Revenue Integrity Services. He 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. Previously, Malm played a key role in providing revenue integrity and data expertise for Craneware, Inc., the market leader in revenue integrity software solutions. He also serves as the secretary/treasurer for the Certification Council of Medical Auditors. He has extensive experience with all postpayment audits, having previously worked as a systems compliance officer at a large for-profit healthcare system. Malm also co-hosts Appeal Academy’s “Finally Friday” discussions.

Kurt Hopfensperger, MD, JD, serves as senior director of audit, compliance, and 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. Previously, Dr. Hopfensperger also ran his own law practice in the Chicago area, in which he specialized in general medico-legal consultation, technical case review for malpractice and disability claims, and contract and payer cases. He remains actively licensed to practice law.

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