By
Not enough information in the public use databases to know that a claim is fraudulent. “In God we trust; all others bring data.” That is what the sign above my desk says, right next to my six-foot slide rule. I was pondering the truth behind this tongue-in-cheek saying when I…
By
Clarity is badly needed for the quarterly health data report. Every quarter, the quality representatives at most hospitals receive their Program for Evaluating Payment Patterns Electronic Report (PEPPER), and every quarter the quality representatives struggle to figure out what to do with the data. And this quarter, TMF, which produces…
By
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a mystery to many. Sent to hospitals as an Excel workbook, I find it to be data-rich but information-poor.There are 56 pages of explanations, data, and tables. To make it even more frustrating, no one seems to really know who…