tci Medicare Compliance & Reimbursement - 2014 Issue 1

SNF Reimbursement: Interpreting Your PEPPER Report Is Much Easier Than You Realize

Use these pointers to clear up confusion. Understanding your skilled nursing facility’s (SNF’s) Program for Evaluating Payment Patterns Electronic Report (PEPPER) report is much easier if you understand the key terms — percent and percentile. “There are two terms at the heart of PEPPER: Percents and Percentiles,” said Kimberly Hrehor, MHA,RHIA, CHC, project director at Austin, Texas-based TMF Health Quality Institute, in a recent presentation. “It is easy to confuse these terms.” What ‘Target Area Percent’ Really Means Percent refers to the “target area percent,” which essentially lets you...

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