SNF PEPPER Report Updated

Carl J. Pucci and Nancy Leveille in Finance & Reimbursement

The SNF Program for evaluating Payment Patterns Electronic Report (PEPPER) has been updated through September 2015.  Please see announcement with links to detailed information below.

New SNF PEPPER Now Available

The Q4FY15 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2015 is now available!

Free-standing SNFs: Download PEPPER through the PEPPER Resources Portal. The SNF's Chief Executive Officer, President, Administrator or Compliance Officer should: 

  1. Review the Secure PEPPER Access Guide.
  2. Review the instructions and obtain the information required to authenticate access. Note: A new validation code will be required. A patient control number or medical record number from a claim for a traditional Medicare FFS beneficiary with a “from” or “through” date in September 1-30, 2015 will be required.
  3. Visit the PEPPER Resources Portal.
  4. Complete all the fields.
  5. Download the PEPPER.

Hospital-based SNFs: PEPPER was uploaded to the AutoRoute_inbox of QualityNet account administrators and those with user accounts with the PEPPER recipient roles. The PEPPER file will be available for download in QualityNet for 60 days from the date it was uploaded. View instructions for downloading your PEPPER.

Revised in this release: The “Therapy RUGs” target area has been discontinued.

About PEPPER

PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data to support internal auditing and monitoring activities. Visit the SNF Training and Resources page at PEPPERresources.org to access updated resources for using PEPPER, including recorded web-based training sessions, a sample SNF PEPPER and the current SNF PEPPER User’s Guide. PEPPER is distributed by TMF® Health Quality Institute under contract with the Centers for Medicare & Medicaid Services. Do you have questions or comments about PEPPER or need help obtaining your report? Visit TMF’s Help Desk to request assistance with PEPPER.

NYSHFA CONTACTS:

Carl J. Pucci
Director, Finance & Reimbursement
518-462-4800 x36

Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20