Wednesday, May 3, 2017

New Pepper SNF Statistics Now Available

Dianne De La Mare

TMF Health Quality Institute, has just released the 2016 Fourth Quarter, skilled nursing facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2016. To obtain your SNF’s PEPPER, the Chief Executive Officer (CEO), President, Administrator or Compliance Officer can download this information through the PEPPER Resources Portal

Recall that the SNF PEPPER is a Microsoft Excel file summarizing provider-specific Medicare data statistics for targeted areas often associated with Medicare improper payments due to billing, DRG coding and/or admission necessity issues. The SNF target areas include: Therapy RUGs with High ADL; Nontherapy RUGs with High ADL; Change of Therapy Assessment; and Ultra High Therapy RUGs. TMF, Health Quality Institute (a CMS contractor) tracks those SNFs that have and have not downloaded this important information. 

To obtain more information go to the PEPPER Website.

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