EVENTS
Hospice PEPPER Report Update
Speaker(s): Melinda A. Gaboury, CEO
Category: Speaking Engagement
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Speaker(s): Melinda A. Gaboury, CEO
About the Speaker(s)
Melinda A. Gaboury, with more than 29 years in home care, has over 20 years of executive speaking and educating experience, including extensive day to day interaction with home care and hospice professionals. She routinely conducts Home Care and Hospice Reimbursement Workshops and speaks at state association meetings throughout the country. Melinda has profound experience in Medicare PDGM training, billing, collections, case-mix calculations, chart reviews and due diligence. UPIC, RA, ADR & TPE appeals with all Medicare MACs have become the forefront of Melinda’s current impact on the industry. She is currently serving on the AHC/HHFMA Advisory Board and Work Group and is Treasurer on the Home Care Association of Florida Board of Directors. Melinda is also the author of the Home Health OASIS Guide to OASIS-D1 and Home Health Billing Answers, 2021.
About the Event
PEPPER Reports have swiftly become the forefront of everyone’s concern when it comes to Medicare Medical Review. The PEPPER, which is data that is gathered strictly from the from processed claims information, carries a very heavy weight in the decision of whether to Medically Review an agency or NOT. Many of the targets calculated within the PEPPER give hospices detail insight into the claims’ details that may have been overlooked causing issue with the target calculations. Hospices should be heightened aware that everyone they do not want to review their PEPPER data, indeed are! This session will take you through key elements in the PEPPER targets and how to review the data in your organization to determine how they can be improved, if needed.