Tuesday, May 3, 2016

New SNF PEPPER Now Available

Dianne De La Mare

The Centers for Medicare & Medicaid Services (CMS) Contractor, TMF Health Quality Institute, has just released the 4th Quarter FY 2015 skilled nursing facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2015 is now available. Free-standing SNFs can download PEPPER through the PEPPER Resources Portal.

Specifically, the appropriate staff person should:
a) review the Secure PEPPER Access Guide;
b) review the instructions and obtain the information required to authenticate access (Note: a new validation code is currently required. A patient control number or medical record number from a claim for a traditional Medicare fee-for-service (FFS) beneficiary with a “from” or “through” date in September 1-130 is required);
c) visit the PEPPER Resources Portal;
d) complete all the fields; and e) download the PEPPER. By way of background, PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments.

Providers are encouraged to use the data to support internal auditing and monitoring activities.

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