Thursday, October 31, 2013

Learn How to Read/Interpret PEPPER Reports



On August 30, 2013, the Centers for Medicare & Medicaid Services (CMS) distributed to each individual SNF facility, through its contractor (TMF Health Quality Institute), a Program for Evaluating Payment Patterns Electronic Report (PEPPER).  Although these reports have been distributed to other types of health care providers (e.g., hospitals, psychiatric facilities, hospice, etc.), this is the first time that the SNF profession has received PEPPERs, and many AHCA members have questions about how to read and use the report.  To address those member concerns, we have asked the CMS Contractor, Kimberly Hrehor with TMF Health Quality Institute, to provide us with additional information about the history and background of the PEPPER, a description of the risk areas for improper SNF Medicare payments, a discussion of the percentiles and the comparison groups, and a demonstration of how to read and use the report.  In order to cover all this material, and allow participants the opportunity to digest the information, we have scheduled two separate webinars that build upon each other on Nov. 7 at 3:00PM (SNF PEPPER Training Part I), ET and Nov. 8 at 3:00PM, ET (SNF PEPPER Training Part II).  Please register for the events separately and in advance here for Nov. 7 and here for Nov. 8.

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