Home Health & Hospice

What billing domains does the first ever home health PEPPER cover?

Homecare Insider, July 27, 2015

The first edition of the home health report provides 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 jurisdiction, as well as the country at large. Specifically, the report considers:
1.      Outlier payments
2.      Average number of episodes
3.      Average case mix
4.      Episodes with five or six visits
5.      Non-LUPA payments
6.      High therapy utilization episodes