Pepper Reports

Tell me how others are studying their Pepper Reports when your facility is
above or in line with the 80th percentile or below the 20% percentile?

We have been doing prebill coding audits by external party of our higher risk DRGs. Is there anything else that is recommended?

It can be hard to sell the fact that we have worked really hard on CDI and
coder training.

Betty Lanzrath, MA, RHIA
Director, Health Information Management
Newton Medical Center
600 Medical Center Drive
Newton, KS 67114
Phone 316-804-6030
Fax 316-804-6261

Each of us has the potential to change the world. Because the price of change is so high, we seldom take on the challenge.

Taken from Deep Change by Robert E. Quinn


  • edited May 2016
    We do not do pre-bill DRG audits at our facility. However, I do use the
    pepper report for our quarterly coding audits by an external vendor if
    they are over 80 or under 20th percentiles. Then we can receive the
    education needed for those DRGs and coding. I do not do anything with
    those that fall within the range unless I see it has crept upward or
    downward over time. Occasionally we have only one quarter that we are
    out of range and if it's in range most of the previous times, I don't
    usually worry about that. Repeatedly out range we look at for sure. RAC
    are looking for patterns.

    Catherine S. Kadry, RHIT, CCS, CHA
    Director, Health Information Management
    Pioneers Memorial Healthcare District
    207 W. Legion Road
    Brawley, CA 92227
    Phone (760) 351-3148 Fax (760) 351-3463
  • I am not really looking at the Pepper Reports but know I should be. I think that is good that you are.
  • edited May 2016
    We use them as a benchmark for some of those tough diagnoses to determine if we need to do any focus audits. CM uses them for monitoring their functions - again, as benchmark. We review and report through compliance, any areas where we are above the benchmark, including any spot audits that we have done. The coding categories are reviewed by our CDI staff (1 RN and 1 Coder) who fall under HIM. Hope this helps.

    Sandra Berryman, MBA, RHIA, CHP
    Director, Health Information Mgmt
    Privacy Officer
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