Thursday, November 21, 2013

More on PEPPER Reports

By Dianne De La Mare

As AHCA has previously reported, the Centers for Medicare & Medicaid Services (CMS) recently 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.) in the past, this is the first time that the SNF profession has received PEPPERs.  AHCA has had a lot of contact with TMF Health Quality Institute contractor, Kimberly Hrehor, who also provided a 2-part webinar series for AHCA membership to help them read and analyze the information in the report accurately. To hear PEPPER Part I, click here. To hear PEPPER Part II, click here.

In addition, during our discussions with TMF, AHCA asked for additional reports summarizing SNF statistics at the state level.  TMF responded to that request, and now, aggregated for each state, TMF has created files that include the numerator and denominator counts for each of the six target areas; as well as graphs that compare all states’ target area percents. Reports listing the top RUGs for all episodes of care and the top RUGs for 90+day episodes of care are also available at the state level. To see these national-level reports go to the PEPPER website here.

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