The Skilled Nursing Facility (SNF) “Program for Evaluating Payment Patterns Electronic Report” (PEPPER) was released in April 2014 by CMS. CMS introduced this new annual report for Skilled Nursing Facilities in August 2013. PEPPER data is shared with both Medicare Administrative Contractors (MACs) and the Medicare Recovery Audit Contractors (RACs). This important report details your facility-specific Medicare claims data in certain targeted areas and compares your facility to other SNFs Nationally, by State and by Jurisdiction (Medicare Administrative Contractors/Fiscal Intermediaries).
62. National
Comparative Data
(Actual Percentages)
Percent
100%
75%
50%
25%
0%
Therapy RUG Days Therapy High ADL Days 90+ Day Episode of Care
Target Areas
80th Percentile
Actual SNF
20th Percentile
HHI Comparative Data
63. HHI Comparative Data
Actual SNF
20th
Percentile
50th
Percentile
80th
Percentile
Target Area
72.8% Therapy RUG Days
85.5% 93.2% 97.3%
58.5% Ultra High RUG Days
28.1% 53.9% 73.1%
51.6% Therapy High ADL Days
20.0% 32.9% 48.1%
26.7% Non-Therapy High ADL Days
11.5% 23.4% 42.2%
9.0% 90+ Day Episode of Care
7.5% 14.1% 25.9%
6.9% Change of Therapy Assessments
7.0% 12.7% 19.0%
National
Comparative Data-Actual Percentages