The Program for Evaluating Payment Patterns Electronic Report (PEPPER) details facility-specific Medicare claims data in targeted areas and compares facilities to other skilled nursing facilities (SNFs) on a national level with the help of State and by Contractor Jurisdiction. This educational session by expert speaker Elisa Bovee, MS, OTR/L will provide an in-depth interpretation of the elements of the PEPPER. You will learn how to interpret your PEPPER and discuss the practical application of this critical information to your Compliance Program.
This session will provide you with the necessary information to create a Corporate Compliance Program, and how to have a formalized and proactive approach towards detecting fraud, abuse, and waste of company resources. Other takeaways from the conference include strategies to develop an action plan to ensure compliance with Medicare regulatory requirements and ensure accurate reimbursements for providing clinically appropriate care.
I. The relevance of PEPPER percentile ranking
II. Defining the PEPPER Target Areas
III. Three ways to use data analysis and auditing methodologies to address risks and keep their organization compliant
IV. Identifying facility-specific risk factors for Medicare reviews
V. Developing a facility-specific action plan in response to PEPPER Data
VI. Utilizing the strategies required for maintaining a current compliance program
Who should attend?
CEOs, CFOs, Administrators, Nursing Management, Nursing Staff, Therapy Management, Occupational Therapists, Physical Therapists, Speech Pathologists and Business Office Managers
Elisa Bovee, MS, OTR/L, is the Senior Vice President of Operations for Harmony Healthcare International, a nationally recognized, premier Healthcare Consulting firm specializing in C.A.R.E. (Compliance, Audits and Analysis, Reimbursement and Regulations, Education and Efficiency). In her role, Elisa manages a diversified team of HealthCARE Specialists who have extensive knowledge in the areas of Corporate Compliance, MDS 3.0, RUG-IV, Documentation, Therapy Program development and state-specific Medicaid Case Mix. Elisa...
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