Topical Training Session Agenda:
Utilizing PEPPER for Utilization Compliance
(a.k.a., What We Can Expect to Learn from the Topical PEPPER Training on Utilization)
How PEPPER Can Augment Your Hospital's Inpatient Admission Procedures:- Use the PEPPER report to efficiently review past admission trends
- Identify areas that are potentially prone to improper admissions
- Learn how PEPPER can be used even when your hospital is NOT considered an outlier
- Understand the methods employed by CMS in developing target areas
- Focus on target areas that represent the most relevant issues to your hospital and state
- View demonstrations with actual PEPPER data
- Examine current, in-depth examples of the target areas that directly concern utilization issues
- A topical session on target area One-day Stays excluding transfers
- How target area One-day Stays excluding transfers affects your hospital, state, and national payment error rate
- Reading PEPPER length-of-stay data to indicate potential issues concerning admission necessity and use of hospital resources
- Practical advice on avoiding the utilization problems associated with target area One-day Stays excluding transfers from a clinical compliance expert
- Specific ways to identify trends in your hospital's data
- Methods for investigating the cause of potential payment errors
- How your hospital's compliance efforts affect your state's, and the nation's, payment error rate
