PEPPER Report 2012: Improve your organization’s Medicare claims profile
Product Description:
LIVE WEBCAST
Sponsored by: Revenue Cycle Institute
Tuesday, June 12, 2012
1:00–2:30 p.m. (Eastern)
12:00–1:30 p.m. (Central)
11:00 a.m.–12:30 p.m. (Mountain)
10:00–11:30 a.m. (Pacific)
Medicare’s annual PEPPER report helps you determine your organization’s discharges vulnerable to improper payments. But it’s not easy to read. Learn how to work with this report and the new target areas for 2012.
During this 90-minute webcast, our experts will show you how to simplify the 2012 PEPPER report, use its data to identify your facility’s risk areas, and create targeted education and training to improve your organization’s Medicare claims profile.
LEARNING OBJECTIVES
- Interpret PEPPER data and identify important changes to the reports for 2012
- Translate vulnerabilities identified by PEPPER into organizational or departmental process changes
- Prioritize audits in your organization
- Implement innovative methods to educate staff on PEPPER
- Describe target areas in the 2012 OIG Work Plan and Recovery Audit Program
AGENDA
- PEPPER Report
- Data simplification
- Organizational impact
- Risk areas
- CMS improper payment rate
- Differences between inpatient vs. outpatient
- 2012 target areas
- Spinal fusion
- MAC probe audits related to one-day stays for chest pain and syncope
- National High Outlier Ranking Report
- Hospital ranking impact
- Audit perfect storm
- OIG 2012 Work Plan
- Recovery Audit Program
- Case study: Maury Regional Medical Center
- Educate C-Suite, UM Committee, Case Management and CDI
- Prioritize audits to determine causes for outlier trends and identify vulnerabilities
- Manage denials/appeals/audits
- A live question and answer session will follow the presentation.
MEET THE SPEAKERS
John Zelem, MD, FACS Senior Director, Audit, Compliance and Education currently serves as a Senior Director, Audit, Compliance and Education for Executive Health Resources (EHR) in Newtown Square, PA. At present, more than 1400 hospital and healthcare organizations across the country are using EHR’s solutions. A Board Certified general surgeon with more than 25 years of clinical experience, Dr. Zelem is responsible for quality assessment and improvement at EHR’s client hospitals.
Brenda Hogan, RN BS, Director of Clinical Outcomes at Maury Regional Hospital in Columbia, TN. has responsibilities for performance and improvement in clinical outcomes, financial outcomes and compliance in case management, and clinical documentation for Maury Regional Medical Center. The medical center is a 275 bed acute care hospital in South-Central TN. Hogan is an RN with over twenty years of experience, serving in numerous roles and positions in the healthcare industry including hospitals, private physician practices and commercial insurance.
BONUS MATERIAL
In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials plus the following bonus items. These materials are provided with PDF links.
CONTINUING EDUCATION
HCPro is applying for continuing education credits for this program. This site will be updated when credits are approved. For more information please contact customer service at 800-650-6787.
WHO SHOULD LISTEN?
CDI professionals, utilization review staff, HIM staff/directors, case management, nurse managers, quality professionals, auditing professionals, compliance, finance, RAC teams, coding auditor, clinical care managers, quality managers, VPMA, CMO, Physician advisor
Webcast system requirements and program materials:
To fully benefit from the webcast experience, please note you will need a computer equipped with sound card, an Internet connection, speakers, Macromedia Flash player Version 7.0 or higher, a recommended screen resolution of 1024 x 768, and an Internet browser (e.g. Internet Explorer). The use of AOL is not recommended.
Four days prior to the webcast, you will receive an e-mail with detailed system requirements, your log-in information, presentation slides, and other materials that you can print and distribute to all attendees at your location.
Please Note: Participation in the Webcast is just $259 per site. All materials must be retrieved from the Internet. Live orders are assessed a $5 processing fee.
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