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The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide. PEPPER provides each hospice organization’s paid Medicare claims for the last three fiscal years. Jurisdictional or Medicare Administrative Contractor (MAC). PEPPER Target Areas.
Every year, the Centers for Medicare and Medicaid Services (CMS) releases the Program for Evaluating Payment Patterns Electronic Report (PEPPER). Utilizing data from the most recent three calendar years, the PEPPER offers providers specific Medicare data statistics for discharges or services that may be vulnerable to improper payments.
Reducing the number of hospital- or facility-acquired pressure injuries, which are nonreimbursable. Reducing hospital readmission rates by consistently attending to risk factors. Chronic wounds affect about 15% of Medicare beneficiaries each year. Reduce Hospital Readmissions. Build Your Reputation as a Specialist.
As they consider new ideas to raise patient satisfaction, healthcare leaders must have an understanding of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scoring system that evaluates these efforts. Organizations can use data to tailor their interactions and interventions to their own patient population.
As behavioral health providers seek solutions for patients who do not respond to traditional interventions, ketamine offers relief and a new avenue for care. Medicare Part D patients must: Show they are not eligible for Low-Income Subsidy (LIS). Documenting all readings to assess patient tolerance. Reside in the U.S.
No hospitals or birth centers offering obstetric care. This can help improve access to equitable and culturally informed maternity care in under-resourced areas, lower costs, reduce unnecessary medical interventions that contribute to risks of maternal mortality and morbidity,” and more, according to the study’s researchers.
” The Centers for Medicare and Medicaid Services (CMS) defines care coordination more holistically as “the process of ensuring that the patient’s health needs and preferences for health information and services are met across the continuum of care.”
The Centers for Medicare and Medicaid Services (CMS) issued a final rule in August 2022 to improve maternal health outcomes and advance health equity — two of the Biden-Harris Administration’s key priorities. The new measures included the Birthing-Friendly hospital designation to help reduce maternal mortality and morbidity.
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