Harmony Healthcare Blog

SNF PEPPER (version Q4FY15) Released: What You Need to Know

Posted by Melissa Fox on Thu, Apr 14, 2016

The next SNF PEPPER (version Q4FY15) release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2015 is now available.  TMF Health Quality Institute is under contract with the Centers for Medicare & Medicaid Services to provide comparative data reports, including the PEPPER, to providers and to Medicare Administrative Contractors in support of the efforts to reduce Medicare fee-for-service improper payments.

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. 

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Topics: PEPPER

Is Your Skilled Nursing Facility Ready for the 2014 PEPPER?

Posted by Matt McGarvey on Tue, Apr 14, 2015

2014 PEPPER is just about here. 
What lessons have we learned from the first two?

The 2014 PEPPER report will be available to Skilled Nursing Facilities on April 20th.  To say that it is eagerly awaited is quite an understatement.

When the first report was released in September 2013, as an industry our reactions were “What’s a PEPPER report?”, “I’ve never heard of it.” and “How do I get a copy?”  During the months following the PEPPER release, our learning curve was vast as we collectively struggled to interpret the robust, yet complicated, data collection and analysis tool and use it to manage our business.

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Topics: PEPPER, PEPPER Report

2014 PEPPER Report Update: From Snail Mail to Electronic Delivery

Posted by Kris Mastrangelo on Wed, Jan 22, 2014

TMF Health Quality Institute announced that effective January 1, 2014 they will no longer resend copies of SNF PEPPERs (version Q4FY12) which were initially mailed to all Skilled Nursing Facilities on August 30, 2013.

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Topics: PEPPER

Is Your Facility Compliant with the ACA's '13 Compliance Regulations

Posted by Kris Mastrangelo on Thu, Oct 24, 2013

The Long Term Care industry, one of the most regulated industries, is now facing discriminating enforcement concerning business and financial practices. Skilled Nursing Facilities (SNFs) must be aware of the risk for non-compliance with the requirements arising from the Affordable Care Act (ACA) of 2010. Of particular significance to facility administrators, the ACA declared March 23, 2013, as the deadline by which skilled nursing facilities must adopt an effective compliance program.

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Topics: Compliance, OIG, PEPPER

Skilled Nursing Facilities: Where Is My PEPPER?

Posted by Kris Mastrangelo on Mon, Oct 07, 2013

CMS introduced a new annual report for Skilled Nursing Facilities called a “Program for Evaluating Payment Patterns Electronic Report” (PEPPER). PEPPER data is shared with both Medicare Administrative Contractors (MACs) and the Medicare Recovery Auditor Contractors (RACs), to be distributed annually to Skilled Nursing Facilities every April. This important report details your specific Medicare claims data in certain targeted areas and compares your facility to other SNFs Nationally, by State and by Jurisdiction (Medicare Administrative Contractors/Fiscal Intermediaries). Facilities received their lengthy PEPPER at the end of August.

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Topics: PEPPER

Program for Evaluating Payment Patterns Electronic Report (PEPPER)

Posted by The Harmony Team on Wed, Aug 07, 2013

Skilled Nursing Facilities (SNFs) should check the mailbox on and around August 30, 2013 for an envelope with red print on the outside containing your facility specific PEPPER. What is PEPPER? CMS has announced that they will be mailing all SNFs a “Program for Evaluating Payment Patterns Electronic Report” (PEPPER). This report will detail Medicare claims data in certain targeted areas and compare your facility to other SNFs nationally.

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Topics: CMS, PEPPER

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