Program for Evaluating Payment Patterns Electronic Reports

Fourth quarter FY 2022 Program for Evaluating Payment Patterns Electronic Reports (PEPPERs) are available for:

• Long-term care hospitals
• Critical access hospitals
• Inpatient rehabilitation facilities
• Inpatient psychiatric facilities
• Hospices
• Skilled nursing facilities (SNFs)

These reports summarize provider-specific data for Medicare services that may be at risk for improper payments. Use the data to support auditing and monitoring activities.

See the Hospice and SNF User’s Guides for information on new target areas:

• Hospice:
  • Average Number of Medicare Part B Claims for Beneficiaries Residing at Home
  • Average Number of Medicare Part B Claims for Beneficiaries Residing in an Assisted Living Facility, Nursing Facility, or Skilled Nursing Facility
• SNF: High Nursing Case Mix

More Information:

• Visit the Distribution Schedule webpage to find out how to get your report
• Visit the PEPPER Resources webpage to review recorded training sessions, FAQs, and examples of how other hospitals are using the report
• Visit the Help Desk if you have questions
• Send feedback or suggestions