Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The Payment Error Prevention Program (PEPP): reducing Medicare payment errors in prospective payment system

D A Bitonte1, P Curry, P Butler

  • 1Payment Error Prevention Program, Ohio KePRO, Seven Hills, Ohio, USA.

Topics in Health Information Management
|May 31, 2001
PubMed
Summary

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Fostering innovation and sustainable thinking in surgery: an evaluation of a surgical hackathon.

Annals of the Royal College of Surgeons of England·2024
Same author

Multi-pathogen serological survey of migratory caribou herds: A snapshot in time.

PloS one·2019
Same author

Polypharmacy Rates among Patients over 45 years

Irish medical journal·2019
Same author

Evaluation of serum MMP-9 as predictive biomarker for antisense therapy in Duchenne.

Scientific reports·2017
Same author

SU-E-I-60: Validation of An Optically Stimulated Luminescent (OSL) Dosimeter for Use in Output Exposure Control Verification of Mammography Imaging Systems.

Medical physics·2017
Same author

Necrotising fasciitis caused by metastatic endometrial cancer: a rare cause of a life-threatening condition.

Annals of the Royal College of Surgeons of England·2016

The Payment Error Prevention Program (PEPP) was developed by HCFA to help Peer Review Organizations (PROs) reduce Medicare payment errors in PPS hospitals. This initiative uses quality improvement methods to achieve measurable results in preventing improper payments.

Area of Science:

  • Healthcare Administration
  • Health Services Research
  • Quality Improvement

Background:

  • The Medicare program faces significant financial losses due to improper payments, with a substantial portion attributed to Prospective Payment System (PPS) hospitals.
  • Audits by the Office of Inspector General (OIG) highlighted over $12 billion in improper Medicare payments in 1998.

Purpose of the Study:

  • To introduce the Payment Error Prevention Program (PEPP) as a HCFA initiative to aid PROs in reducing payment errors.
  • To outline the methodology of PEPP in addressing improper payments within PPS hospitals.

Main Methods:

  • Implementation of quality improvement (QI) methodologies tailored to reduce payment errors.
  • Collaborative efforts involving state agencies, federal law enforcement, HCFA contractors, and medical associations.

Related Experiment Videos

Main Results:

  • PEPP aims to achieve measurable improvements in processes and outcomes related to payment errors.
  • The program focuses on cooperative strategies to minimize financial waste in the Medicare system.

Conclusions:

  • PEPP is a key initiative for enhancing the integrity and solvency of the Medicare program.
  • Quality improvement methodologies are central to reducing improper payments in PPS hospitals.