Live Audio Conference on Interpreting Your Skilled Nursing Facility PEPPER by Keri Hart– Develop a facility specific action plan in response to PEPPER Data.

1. Interpreting Your Skilled Nursing Facility PEPPER
Presenter
Keri Hart
Follow us :
A Facility-specific Action Plan in Response to PEPPER Data

2. 2
About Keri
Keri Hart, MS-CCC, SLP, RAC-CT, CHHRP-QT
Keri Hart is the Vice President Clinical
Operations/Education and Training at Harmony
Healthcare International, (HHI) an industry
leader in Long Term Care consulting.
Over 25 Years Experience in Long-term Care
Rehabilitation Management
MDS
Follow Me! @CHHRPHart

3. Objectives
Learner will be able to:
State three variables contributing to initiation of the
PEPPER in the long-term care setting
Discuss the relevance of PEPPER percentile ranking
Define the calculations leading to Pepper Target Areas
Communicate a summary of their PEPPER data to key
staff
Identify their facility specific risk factors for Medicare
reviews
Develop a facility specific action plan in response to
PEPPER Data
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4. PEPPER
This report will contain the SNFs detailed
facility specific Medicare claims data in certain
targeted areas and compare the SNF to other
SNFs nationally
Skilled Nursing Facilities (SNFs) should sign
up to receive email notification that your
PEPPER is available
PEPPERResources.org from the PEPPER
HELP Desk
(http://pepperresources.org/HelpContactUs.aspx)
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5. Where is My Pepper?
Updated Release Schedule: On or about
May 6 through May 12, 2014
Staged Release
Freestanding SNFs will receive via a secure
portal on the PEPPERresources.org website
SNFs/Swing beds that are part of a short-term
acute care hospital (3rd digit in the PTAN/CMS
certification number/provider number = “U”) will
receive electronically via QualityNet secure file
exchange
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6. Accessing Your SNF PEPPER
Access to the PEPPER will be restricted
to the provider’s Chief Executive Officer,
President or Administrator
Corporate offices and/or facility
management companies will need to
obtain PEPPERs from each individual
provider in their organization
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7. PEPPER
Targeted areas were derived from two
recent Office of Inspector General (OIG)
Reports:
“Inappropriate Payments to Skilled Nursing
Facilities cost Medicare more than a Billion
Dollars in 2009” (November 2012)
“Questionable Billing by Skilled Nursing
Facilities” (December 2010)
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8. Fraud, Waste and Abuse
The Government Accountability Office
has designated Medicare as a program at
high risk for fraud, waste and abuse
Payments to skilled nursing facilities
(SNFs) have been identified as
vulnerable to abuse
In 2012 the Office of Inspector General
(OIG) found that approximately 25% of
SNF claims were billed in error
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9. To see the complete presentation check the
below link:
http://www.audioeducator.com/nurse/skilled-nursing-facility-pepper-08-
07-14.html