PEPPER Action Plans: Contemporary Approaches to Revenue Integrity

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PEPPER Action Plans: Contemporary Approaches to Revenue Integrity

Product Code: YHHA050818

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PEPPER Action Plans: Contemporary Approaches to Revenue Integrity

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Loyal Listener Library

Presented on:
Tuesday, May 8, 2018 
1:00-2:30 p.m. Eastern 

Presented by:
William Malm, ND, RN, CRCR, CMAS
Kurt Hopfensperger, MD, JD 

Level of Program:
Intermediate 

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is an invaluable resource for facilitating success in value-based reimbursement. With ongoing audits, and with reimbursement tied more closely to patient outcomes, creating a benchmark for audit measures can help you focus on internal audits and proactively address areas that might come under payer scrutiny. PEPPER reports can show you how your facility measures up against your peers and how to prevent continued revenue leakage.

During this 90-minute webinar, expert speakers William L. Malm, ND, RN, CRCR, CMAS, and Kurt Hopfensperger, MD, JD, will explain how to use PEPPER to identify areas at risk for an audit. They will highlight the nuances of physician advisor activities and provide a plan of action to take back to your facility. They will also demonstrate how to use the report to audit, monitor, and support revenue integrity functions.

At the conclusion of this program, participants will be able to:

  • Recognize how to use PEPPER as a risk reduction tool
  • Identify and analyze relevant PEPPER data
  • Describe the educational opportunities offered by PEPPER
  • Recognize the role of PEPPER in auditing and monitoring
  • Explain PEPPER as a tool to support revenue integrity in value-based purchasing, coding, and Medicare compliance
  • Understand the physician advisor side of PEPPER


Who Should Listen?

  • Revenue integrity managers and staff
  • Revenue cycle directors, managers, and staff
  • HIM directors and managers
  • Compliance officers
  • Coding managers and staff
  • Billers
  • Auditors
  • Case management managers and staff
  • Physician advisors
  • CDI managers and staff
  • Data integrity managers


Agenda

  • Using PEPPER to your benefit
    • Types of PEPPER
    • Nuances of physician advisor activities
    • Understanding percentages vs. percentiles
    • Regulation impacts on PEPPER
  • The impact of PEPPER on revenue integrity
    • Using PEPPER to prevent audits
    • Demonstrate process improvements
    • Operationalize PEPPER
  • How PEPPER fits into value-based care
    • PEPPER data calculations
  • Plan of action to take back to your facility
    • Identify physician advisor activities necessary for concurrent PEPPER
    • Case study
  • Live Q&A


Continuing Education

AHIMA
(Live + On-Demand) - This program has been approved for 1.5 continuing education units for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Ability to claim credits for this webinar expires on: 05/07/2019.


Meet the Speakers

William MalmWilliam L. Malm, ND, RN, CRCR, CMAS, is a managing director at Health Revenue Integrity Services in Cleveland and Melbourne, Australia. He is a nationally recognized author and speaker on topics such as value-based care, healthcare compliance, chargemasters, and CMS recovery audits. He also brings a decade of experience with payer acute care audits. Malm has over 25 years of experience with a combination of clinical and financial healthcare knowledge that encompasses all aspects of revenue integrity. Previously, Malm played a key role in providing revenue integrity and data expertise for Craneware, PLC. He also serves as the president for the Certification Council of Medical Auditors. He has extensive experience with all prepayment and postpayment audits, having worked as a systems compliance officer at a large for-profit healthcare system. Malm also co-hosts Appeal Academy’s “Finally Friday” discussions.

Kurt Hopfensperger, MD, JDKurt Hopfensperger, MD, JD, serves as vice president of compliance and physician education at Optum, Executive Health Resources (EHR) in Newtown Square, Pennsylvania. Prior to joining EHR, he practiced as a board-certified neurologist, serving as the medical director of patient safety and chair of the employed physician group at Cheyenne Regional Medical Center, as well as in private practice with Wyoming Neurology, Cheyenne Medical Specialists, and Medical Arts Associates in Moline, Illinois. Previously, Dr. Hopfensperger also ran his own law practice in the Chicago area, in which he specialized in general medico-legal consultation, technical case review for malpractice and disability claims, and contract and payer cases. He remains actively licensed to practice law.


Webinar system requirements and program materials:
To fully benefit from the webinar experience, please note you will need a computer equipped with the following:

Browser: Microsoft Internet Explorer 6 or later, Firefox, Chrome, or Safari, with JavaScript enabled
Internet: 56K or faster Internet connection (high-speed connection recommended)
Streaming: for audio/video streaming, Adobe Flash plug-in or Safari browser on iOS devices 

Prior to the webinar, you will receive an email with detailed system requirements, your login information, presentation slides, and other materials that you can print and distribute to all attendees at your location.

CAN'T LISTEN LIVE?
No problem. The On-Demand version is also available. Use it as a training tool at your convenience—whenever your new or existing staff need a refresher or need to understand a new concept. Play it once or dozens of times. A $259 value! 

PLEASE NOTE
Participation in the webinar is just $259 per site. All materials must be retrieved from the Internet. 

Call your customer service representative toll-free 800-650-6787 or email customerservice@hcpro.com if you have questions.