28 hours ago The Compare Targets report is the only place in PEPPER where a provider can see its national, jurisdiction and state percentile for the most recent time period of each target area. Why is there no data, or very little data, for some of the target areas on our PEPPER? ... Because a patient control number or a medical record number should not be ... >> Go To The Portal
If your facility has a PHP, your PEPPER will be available in the same folder as your IPF PEPPER in the portal. Use your IPF provider number (the third digit will be “4”) when entering your CCN. Requestors will be required to enter their six-digit CMS certification number (i.e., CCN, provider number, PTAN).
Providers do not need to register to obtain the report. Access to the PEPPER is restricted to approved administrator and compliance positions. The portal was designed to meet CMS security standards protect the sensitive data within the report, and to comply with guidance from legal counsel.
The PEPPER team is not able to provide a listing of patients related to the PEPPER target areas; however, providers should be able to identify those patients using the same claims inclusion/exclusion criteria and the target area numerator definition (both of which can be found in the PEPPER user’s guide).
The PEPPER Resources Portal can be accessed through the PEPPER.CBRPEPPER.org website. From the PEPPER.CBRPEPPER.org Home page, click on the word “distribution” in the header or select “Distribution Schedule – Get Your PEPPER” to locate the links to the PEPPER portal for several provider types.
Visit PEPPER.cbrpepper.org to access resources for using PEPPER, including user's guides, recorded web-based training sessions, and a sample PEPPER. PEPPER is developed under contract with the Centers for Medicare & Medicaid Services (CMS) by RELI Group, along with its partners TMF® Health Quality Institute and CGS.
PEPPER: PEPPER is an electronic report that provides provider-specific Medicare data statistics for discharges/services vulnerable to improper payments.
The Program for Evaluating Payment Patterns Electronic Report (PEPPER) is a Microsoft Excel file summarizing provider-specific Medicare data statistics for target areas often associated with Medicare improper payments due to billing, DRG coding and/or admission necessity issues.
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An acute care transfer occurs when a Medicare patient in an IPPS hospital (with any MS- DRG) is: 1. Transferred to another acute care IPPS hospital or unit for related care (Patient. Discharge Status Code 02 or Planned Acute Care Hospital Inpatient Readmission.