The Q4FY17 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2017 is now available for download through the PEPPER Resources Portal. To obtain your SNF's PEPPER, the Chief Executive Officer, President, Administrator or Compliance Officer of your organization should:
- Review the Secure PEPPER Access Guide.
- Review the instructions and obtain the information required to authenticate access. Note: A new validation code will be required. A patient control number (UB04 form locator 03a) or medical record number (UB04 form locator 03b) from a claim for a traditional Medicare FFS beneficiary with a claim “from” or “through” date between July 1 – Sept. 30, 2017, will be required.
- Visit the PEPPER Resources Portal.
- Complete all the fields.
- Download your PEPPER.
The SNF PEPPER will be available to download for approximately two years.
SNF swing bed units that are administered by short-term acute care hospitals will receive their PEPPER via the QualityNet secure portal by April 13, 2018, via an upload to the “AutoRoute_inbox” of QualityNet account administrators and those with user accounts with the PEPPER recipient roles. QualityNet administrators will receive download instructions in a separate email.
New in this release: A new target area, “20-day Episodes of Care,” has been added to assess the percent of all episodes of care ending in the report period that were exactly 20 days in length.
Need help accessing your PEPPER reports and identifying problem areas that may lead to improper payments and/or audits? As a member of the Billers’ Association, you’re invited to join our FREE, quarterly webinar on Wednesday, April 18, 2018, 1:00PM ET. During this live events, HCPro’s postacute regulatory specialist Stefanie Corbett, DHA, will walk participants through how to spice up their compliance programs with PEPPER reports, including how to determine whether your facility is recognized as an outlier compared to other SNFs and how to identify focus areas for medical record audits and quality improvement areas.
Reserve your spot now!