Breaking Compliance News Blog

PEPPER Outlier Reports: Are you part of the 49%?

Posted by Margaret Scavotto, JD, CHC on 7/7/14 3:25 PM

The latest Program for Evaluating Payment Patterns Electronic Reports (PEPPER) reports for SNFs, from 4th Quarter 2013, have been available since May 5. As of June 30, only 49% of SNFs have accessed their PEPPER reports. Are you one of the 49%?

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Topics: PEPPER, Auditing and Monitoring, Billing and Claims Submission

PEPPER Is Here! Are You An Outlier?

Posted by Margaret Scavotto, JD, CHC on 5/13/14 3:41 PM

SNFs can now access their PEPPER (Program for Evaluating Payment Patterns Electronic Report) for 4th Quarter 2013 online.

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Topics: PEPPER, Auditing and Monitoring, Billing and Claims Submission

PEPPER Reports Are Coming: Are You Ready?

Posted by Margaret Scavotto, JD, CHC on 4/17/14 3:07 PM

CMS Program for Evaluating Payment Patterns Electronic Reports (PEPPER) reports will be released soon. PEPPER is a Medicare Part A claims data report that compares your SNF to state, national and MAC or FI jurisdiction data. PEPPER includes this comparative data for six Target Areas:

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Topics: PEPPER, Auditing and Monitoring, Billing and Claims Submission

PEPPER arrives: Are you an outlier?

Posted by Margaret Scavotto, JD, CHC on 10/3/13 11:57 AM

What is PEPPER?

By now, skilled nursing facilities should have received the CMS Program for Evaluating Payment Patterns Electronic Reports ("PEPPER"). PEPPER is a Medicare Part A claims data report that compares your SNF to aggregated state, national and Medicare Administrative Contractor (MAC) or Fiscal Intermediary (FI) jurisdiction data. PEPPER includes this comparative data for six "Target Areas": 1) Therapy RUGs with high ADLs; 2) Nontherapy RUGs with high ADLs; 3) Change of therapy assessments; 4) Ultrahigh therapy RUGs; 5) Therapy RUGs; and 6) 90+ day episodes of care.

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Topics: PEPPER, Auditing and Monitoring

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