RESOURCE GUIDE TO CASE MANAGEMENT
Jan 01, 2016 · The data in the PEPPER is your own hospital’s billing data, along with the billing data from all other hospitals in the nation. Therefore, Medicare auditors, such as the MACs, have this data. A high outlier status could indicate an additional risk for audit and denial. Ten of the PEPPER categories are focused on coding and
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Quick reference guide: Arizona - cdn-aem.optum.com
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