Submitting insufficient documentation or failing to adequately document medical necessity are the main reasons for improper payments for post-acute care services. To help address this problem, CMS provides free provider-level reports comparing service use and billing to state-level, jurisdiction-level, and national aggregate data through the Program for Evaluating Payment Patterns Electronic Report (PEPPER).
Read article.
Copyright 2020 Compliance Today Magazine, a publication of the Health Care Compliance Association (HCCA)