Home Health & Hospice

What target areas will the first edition of the home health PEPPER cover?

Homecare Insider, March 30, 2015

The first edition of the home health report will provide detailed comparisons of an agency’s Medicare claims data in six domains considered at potential risk for abuse or improper payment to that of counterparts in the same state and Medicare Administrative Contractor (MAC) jurisdiction, as well as the country at large. Specifically, the report will consider:
  1. Outlier payments
  2. Average number of episodes
  3. Average case mix
  4. Episodes with 5 or 6 visits
  5. Non-LUPA payments
  6. High therapy utilization episodes