Industry Insights


April 2015
Author:  Suzy Harvey

Suzy Harvey

Managing Consultant


Health Care

910 E. St. Louis Street, Suite 200
P.O. Box 1190
Springfield, MO 65801-1190 (65806)


TMF Health Quality Institute announced on April 15, 2015, that Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Reports (PEPPER) are available for download. The fourth-quarter fiscal year 2014 PEPPERs can be accessed through the PEPPER Resources Portal

To obtain your SNF’s PEPPER, your organization’s CEO, president or administrator should: 

  1. Review the Secure PEPPER Access Guide.
  2. Review the instructions and obtain the information required to authenticate access. A new validation code (medical record number or patient control number from a claim for services from September 1, 2014, through September 30, 2014) will be required for this release.
  3. Visit the PEPPER Resources Portal
  4. Complete all the fields.
  5. Download your PEPPER.

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

PEPPER is a valuable tool for SNFs to identify outliers that could put them at risk for Medicare audits. With increased scrutiny on therapy services, minimum data set (MDS) accuracy and length of stay, the PEPPER should be part of a proactive plan for internal auditing and compliance monitoring.

If you're having difficulty accessing or understanding your SNF PEPPER, or if you have outliers and are interested in an external analysis, contact your BKD advisor.

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