Advisory Services Senior Manager Janet Potter advises Skilled Nursing Facilities to have a strategy for integrating Medicare's PEPPER data into their corporate compliance programs, in an article for HCPro' s Billing Alert for Long-Term Care.
Every spring, CMS makes available the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for SNFs. The agency offers variant reports for a number of other Part A provider types, including hospitals, home health agencies, and hospices.
These tools, which provide comparative billing data across a handful of setting-specific risk areas, can play an important part in a provider’s corporate compliance program. To get the most out of the report, SNFs should have a strategy in place for integrating its findings into their corporate compliance program before accessing this year’s edition.