PEPPER 2010: Analyze the New Report to Improve Coding and Quality

AUDIO CONFERENCE ON CD OR ON-DEMAND

Sponsored by MedicareFind

presented on June 15, 2010

After more than year with no PEPPER (Program for Evaluating of Payment Patterns Electronic Report) release, hospitals now have access to new kinds of data. If you are unaware of the changes or haven't yet taken advantage of the reports, now is the time to analyze and improve your organization's data profile.

During this 90-minute intermediate-level audio conference, our speakers discuss strategies to use the data and provide a case study of how one facility uses the PEPPER data and related measures to track coding and quality performance over time.

LEARNING OBJECTIVES

At the conclusion of this audio conference, you will be able to:

• Describe the report in detail including changes from the old PEPPER
• Discuss the limitations of PEPPER data
• Identify risk areas not currently included in PEPPER data
• Reformat the data to be more user friendly for internal team use and review
• Start or improve your existing PEPPER process

AGENDA

• Overview of PEPPER
  • History
  • Coding v. medical necessity
• Changes to the 2010 PEPPER
  • New comparison groups
  • Outlier calculation changes
  • New thresholds
  • Category eliminations
  • Trending data
• PEPPER case study
  • Identifying team members
  • Converting/manipulating the data
  • Training physicians
  • Reviewing results

A question and answer session follows the presentation.

MEET THE SPEAKERS

Robert M. Tippens, Director of Quality Improvement and Medical Staff Services, East Texas Medical Center, Tyler, TX. His areas of expertise include utilization and analysis of resources, quality and performance improvement, credentialing and privileging, medical staff quality monitoring, the Joint Commission standards and CMS compliance readiness, patient safety and health information management.

Mark Miani, MD, is Senior Medical Advisor, Expert Advisory Services for Executive Health Resources (EHR) in Newtown Square, PA. He has extensive experience with federal regulations, policies, and guidance issued by CMS affiliated contractors involved in medical review, audits, and investigations. His expertise includes utilization management and documentation improvement for care management, medical necessity, and length of stay.

MATERIALS

In addition to the expertise and advice presented during this audio conference, you'll also receive a slide presentation of the program materials and: