PEPPER Returns—and Compliance Risks Are Front and Center
The Centers for Medicaid & Medicare Services (CMS) recently announced the return of the Program for Evaluating Payment Patterns Electronic Report (PEPPER) after a three-year pause. During this pause, CMS reevaluated the metrics included and the quality of those metrics. The PEPPER provides facilities with valuable insight into how frequently and to what extent they bill traditional Medicare for key nursing and therapy services. Using Medicare claims data, the report compares a facility’s billing patterns…
