PEPPER Training & Resources for Skilled Nursing Facilities

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

Q4FY22 SNF PEPPER Review – Webinar

When: Tuesday, April 11, 2023,  3 – 4 p.m. EDT
What: A WebEx presented by the RELI Group
Topic: This webinar will include the history/background of PEPPER, a high-level review of the target areas, a walk-through of a sample PEPPER, and guidance for accessing the PEPPER

Registration is required.  Register HERE.

This program is being brought to you at no charge.

Because registration is limited to 1,000 sites, SNFs are encouraged to coordinate internally to prevent duplicate registrations and to allow as many SNFs as possible to participate. Registrants will receive an email with information about how to join the session.

For those unable to participate, the session will be recorded and posted here.

HandoutDownload the handout. It will also be available via WebEx upon joining the session.

The Q4FY22 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2022 is now available for download through the PEPPER Resources Portal. To obtain your SNF PEPPER, the Chief Executive Officer, President, Administrator, Compliance Officer, Quality Assurance/Performance Improvement Officer, or other authorized user within your organization (selecting a job title closest to their title) should:

            1. Review the instructions and obtain the information required to authenticate access. Note: A    new validation code will be required. This will be either a patient control number (found at form   locator 03a on the UB-04 claim form) or a medical record number (found at form locator 03b on the UB-04 claim form) for a traditional Medicare Part A Fee-for-Service patient who received services from July 1, 2022, through Sept. 30, 2022 (“from” or “through” dates on a paid claim). Additionally, as a second option, a contact from the Provider Enrollment, Chain, and Ownership   System (PECOS) will be sent an email and provided with a validation code to use to access the            PEPPER from the PEPPER Portal. The validation code may be shared with others in the facility as   deemed appropriate. SNFs that are swing-bed units of short-term acute care hospitals will use validation codes provided to Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) Security Administrators to access their PEPPER from the PEPPER Portal.

            2. Visit the PEPPER Resources Portal.

            3. Complete all the fields.

            4. Download your PEPPER.

The SNF PEPPER will be available to download for approximately two years.

Free-standing skilled nursing facilities and skilled nursing facilities that are part of another type of hospital receive their PEPPER via PEPPER Resources Portal at https://securefile.tmf.orgView a map of SNF PEPPER retrievals by state.

To receive updates on training and other resources, please join our email list.

The current PEPPER User’s Guide is available at: Skilled Nursing Facility PEPPER User’s Guide (PDF, 11th Edition).

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 on the PEPPER website 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 developed under contract with the Centers for Medicare & Medicaid Services (CMS) by RELI Group, along with its partners TMF® Health Quality Institute and CGS.