Get Your PEPPER . . . MS-DRG Data and More

The Program for Evaluating Payment Patterns Electronic Report (PEPPER) was developed in 2002 by TMF Health Quality Institute in support of CMS’ Hospital Payment Monitoring Program. State Quality Improvement Organizations (QIOs) began distributing PEPPER to the...

The OIG Workplan and Building Your Coding Compliance Plan/Program

Each year the Office of Inspector General (OIG) publishes their healthcare workplan and this is an “opportunity” for us in review and learn from their areas of focus. The workplan can be viewed at: Work Plan | Office of Inspector General | U.S. Department of Health...

Digital Pill Development Allows Monitoring of Patient Compliance

The Food and Drug Administration has approved a digital pill — a medication implanted with a sensor that can indicate when the medication is taken. This is a significant advancement in the field of digital devices to monitor medicine-taking.  Non-compliance with...

Building a Compliance Program: Where Do I Start?

If you are new to compliance or new to building a compliance program, you may be asking yourself “where do I start?” As an educator and compliance professional, I’ve heard this question many times and even asked it myself. Even those who have been compliance officers...