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Hospice Billing Compliance: The Latest PEPPER Updates

Relias

The provider-specific PEPPER analyzes Medicare data and statistics from discharges and services compared with every hospice nationwide. PEPPER is a yearly report given to hospices, skilled nursing facilities, inpatient and outpatient rehabilitation centers, and other U.S. Jurisdictional or Medicare Administrative Contractor (MAC).

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Home Health CoPs Update: New Opportunities for OTs

Relias

OTs working in home health can initiate the start of care in more situations beginning in 2022 under changes to the Medicare conditions of participation (CoPs). Under previous rules, an OT was not authorized by Medicare to conduct an initial assessment in home health. OTs Can Conduct Medicare Initial Assessment.

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7 Steps To Prevent Pressure Sores

Relias

The Centers for Medicare and Medicaid Services (CMS) requires all health facilities in the Medicare program to track and report data reflecting pressure injury development on all clients. Repeated pressure exposure on the same area will result in the degradation of the skin’s integrity, literally opening the skin up to infection.

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Understanding the PEPPER Can Reduce Home Health and Skilled Nursing Audit Risks

Relias

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.

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Severe Wound Care Is Shifting to Post-Acute Care

Relias

Since 2016, fewer patients with severe wounds have received care in long-term care hospitals, and more patients have gone to less costly facilities like inpatient rehabilitation and skilled nursing facilities. billion in fiscal year 2016 to $2.01 billion in fiscal year 2018.

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What I Learned About Navigating the Mental Health System

Beautiful Voyager

I begin looking further into more advanced rehabs, but research has shown me that I couldn’t find one mental rehabilitation center that accepted Medicaid or Medicare in the US. I still feel it did help me get further down the path to wellness, but I don’t think it is a long-term solution. This is a problem.

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Future-Proof Your Workforce: Post-Acute Care Reskilling and Upskilling

Relias

These skills can provide a higher level of specialized care for patients, expand the variety of conditions an agency can serve, capture higher Medicare reimbursement, and increase agency profitability. Create Reskilling and Upskilling Programs.

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