CHA News Article

Hospital-Specific Data Reports Include New IRF, LTCH Indicators

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) has released hospital-specific data — with statistics through the fourth quarter of fiscal year 2011 — that includes new indicators for long-term acute-care hospitals (LTCHs) and inpatient rehabilitation facilities (IRFs). IRF reports include two top case mix group (CMG) reports — top IRF CMGs and top CMGs in the Medicare administrative contractor (MAC) or fiscal intermediary (FI) jurisdiction. LTCH reports contain data on two new target areas — “Outlier Payments” and “30-day Readmissions to Same Hospital or Elsewhere.” PEPPER provides hospital-specific data statistics for Medicare discharges in areas that may be at risk for improper Medicare payments. Hospitals can use PEPPER to support internal auditing and monitoring activities. PEPPER is a free report comparing a hospital’s Medicare billing practices with other hospitals in the state, MAC or FI jurisdiction, and nation. For more information, visit