Archives: 2017, May

Home Health PEPPER is HOT!

By Melinda A. Gaboury, CEO / Posted on: May 26, 2017

One of the Hot Topics surrounding the medical review contractors and Medicare MACs is Home Health PEPPER (Program for Evaluating Payment Patterns Electronic Report)! Pepper is an accumulation and calculation of certain statistics that result from claims data. These Medicare claims data statistics are calculated for areas that may be at risk for improper Medicare payments such as…


HHCAHPS – Improvement in Specific Care Issues

By Melinda A. Gaboury, CEO / Posted on: May 12, 2017

Are you monitoring the agency’s HHCAHPS Star Ratings? There are numerous questions on the survey that the patients must complete, but only selected ones go into the outcome calculation and eventual star rating. The Composite Measure – Specific Care Issues, seems to be one that most agencies struggle with. The specific questions from the survey…