Who is Looking at your Medical Information? (cont.)
HCFA initiated a broad based effort to reduce payment errors ñ therefore, PEPP (Payment Error Prevention Program) was developed to review and monitor coding and utilization practices.
Identify admissions that have a high potential for not meeting acute stay requirements
Identify medical records that have a high risk of incorrect DRG assignment
Establish Wisconsin baseline payment error rates
Assist hospitals with educational/compliance tools