The Program for Evaluating Payment Patterns Electronic Report (PEPPER), distributed either quarterly or annually depending on the type of facility, contains large amounts of data on how a facility compares to others in the same state, the same jurisdiction (i.e., the same Medicare Administrative Contractor), and nationwide in terms of coding and medical necessity target areas. (Find out more at www.pepperresources.org.)PEPPER identifies when facilities are outliers in their reporting of multiple risk areas. For coding, those areas are:
When evaluating a family's ability, willingness, and availability to provide needed care to patients, discharge planners may become aware of scenarios that are not reasonable or safe for the patient.
September has always been synonymous with students returning to the classroom. While that may not be reason enough to review the HIPAA Privacy Rule, a more compelling reason to dust off the HIPAA education materials might be the government's increase in enforcement efforts.
The Community-Based Care Transitions Program (CCTP), also known as Grant 3026, is mandated by Section 3026 of the Patient Protection andAffordable Care Act and provides funding to test models for improving care transitions for high-risk Medicare beneficiaries.
Medical City Hospital (MHC) in Dallas asked its core measurement teams for acute myocardial infarction (AMI), pneumonia, and heart failure to develop readmission reduction processes for each condition.
Organizations have had their chance to weigh in on the proposed accounting of disclosures rule, and some larger ones don't exactly see it working as written. Here is what some organizations had to say.
