SNF PEPPER Updates and Resources

The Q4FY17 release of the Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2017 is now available for download through the PEPPER Resources Portal. To obtain your SNF’s PEPPER, the Chief Executive Officer, President, Administrator or Compliance Officer of your organization should:

  1. Review the Secure PEPPER Access Guide.
  2. Review the instructions and obtain the information required to authenticate access. Note: A new validation code will be required. A patient control number (UB04 form locator 03a) or medical record number (UB04 form locator 03b) from a claim for a traditional Medicare FFS beneficiary with a claim “from” or “through” date between July 1 – Sept. 30, 2017, will be required.
  3. Visit the PEPPER Resources Portal.
  4. Complete all the fields.
  5. Download your PEPPER.

The SNF PEPPER will be available to download for approximately two years.

SNF swing bed units that are administered by short-term acute care hospitals will receive their PEPPER via the QualityNet secure portal by April 13, 2018, via an upload to the “AutoRoute_inbox” of QualityNet account administrators and those with user accounts with the PEPPER recipient roles. QualityNet administrators will receive download instructions in a separate email.

New in this release: A new target area, “20-day Episodes of Care,” has been added to assess the percent of all episodes of care ending in the report period that were exactly 20 days in length.

A webinar is scheduled for Thursday, May 10, at 1 p.m. CDT to review the new PEPPER. For more information visit the SNF Training and Resources page.


May 10, 2018

When: Thursday, May 10, 1 – 2 p.m. Central Daylight Time

What: A WebEx presented by Kimberly Hrehor with TMF Health Quality Institute

Topic: A review of the new release of the Skilled Nursing Facility (SNF) PEPPER (version Q4FY17, scheduled for release by April 16, 2018), including the new “20-day Episodes of Care” target area

Registration is required. Click here to register.

This program is being brought to you at no charge.

Because registration is limited to 1,000 sites, SNFs are encouraged to coordinate internally to prevent duplicate registrations and to allow as many SNFs as possible to participate. Registrants will receive an email with information about how to join the session. Audio information will be available to registrants once they join the session.

For those unable to participate, the session will be recorded and posted on in the SNF “Training and Resources” section by May 24, 2018.

Handout: This will be posted on the website in the SNF “Training and Resources” section by May 9, 2018. It will also be available via WebEx upon joining the session.


PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data to support internal auditing and monitoring activities. Visit the SNF Training and Resources page at to access updated resources for using PEPPER, including recorded web-based training sessions, a sample SNF PEPPER and the current SNF PEPPER User’s Guide. PEPPER is distributed by TMF Health Quality Institute under contract with the Centers for Medicare & Medicaid Services.

Do you have questions or comments about PEPPER or need help obtaining your report? Visit our Help Desk to request assistance with PEPPER. Provide your feedback or suggestions regarding PEPPER through our feedback form.

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