Hospital Payment Monitoring Program
CMS established the HPMP to measure, monitor and reduce errors in Medicare fee-for-service inpatient payments. As the QIO, IFMC is responsible for reviewing sample hospital admissions for quality of care, medical necessity and accuracy of DRG payment. Using pattern analysis, IFMC develops and implements quality improvement plans to reduce payment errors.
Program for Evaluating Payment Patterns Electronic Report:
PEPPER Distribution Schedule and Report Timeframes
| Anticipated Date of Distribution to Hospitals |
Months Associated with Data |
| January | July/Aug/Sept |
| April | Oct/Nov/Dec |
| July | Jan/Feb/Mar |
| October | April/May/June |
Distribution of PEPPER Reports:
IFMC distributes PEPPER data quarterly. PEPPER reports are sent to Iowa Prospective Payment System hospitals via Quality Net Exchange. Per hospital request these reports are uploaded to the designated user’s Quality Net Exchange inbox. To request your hospital’s free PEPPER report contact Joyce Gale at jgale@iaqio.sdps.org or 515-223-2133.
How to download PEPPER reports
FREE Education/Tools:
HPMPResources.org - Learn about HPMP and download up-to-date news, tools and events; this website also offers beginning to advanced PEPPER training.
For more information on HPMP and PEPPER, please contact Joyce Gale, jgale@iaqio.sdps.org or (515) 223-2133.