Monday, January 13, 2014

CMS Stops Distributing 2013 PEPPER Reports


Centers for Medicare & Medicaid Services (CMS) contractor, TMF Health Quality Institute, has just contacted AHCA to let us know that they will discontinue resending copies of the 2013 SNF PEPPER report as of January 1, 2014.  As reported previously, national skilled nursing facility (SNF) claims data was analyzed for the first time in 2013 to identify targeted areas within the SNF prospective payment system (PPS), which could be at risk for improper Medicare payment.  The PEPPER reports were sent to all SNF facility administrators in August 2013, via paper copy, and subsequently some of these reports were lost.  TMF has been providing duplicate copies of the PEPPER reports up to this time; but they have currently stopped this service.  PEPPER reports will again be distributed in upcoming years, and CMS and TMF are currently working on a secure website portal, making it easier for SNF providers to safely obtain these important reports.  We will continue to keep you apprised as we learn more about the new process.

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