Beginning in April 2011, the Centers for Medicare & Medicaid Services (CMS) 
will make available free hospital-specific comparative data reports for 
critical access hospitals (CAHs) nationwide. The Program for Evaluating Payment 
Patterns Electronic Report (PEPPER) provides hospital-specific data statistics 
for Medicare discharges at risk for improper payments. Hospitals can use the 
data to support internal auditing and monitoring activities. PEPPER is the only 
free report comparing a CAH's Medicare billing practices with other CAHs by 
state, Medicare Administrative Contractor (MAC) or Fiscal Intermediary (FI) 
jurisdiction and the nation. CMS has contracted with TMF Health Quality 
Institute to develop and distribute the reports.

PEPPER will be distributed electronically to CAH QualityNet Administrators and 
those who have basic user accounts with the PEPPER Recipient role on or about 
Monday, April 25, via a My QualityNet secure file exchange. In preparation for 
receiving and downloading PEPPER from My QualityNet, these individuals should 
verify that their computer systems are equipped with the software and 
configuration required to use My QualityNet by following the steps at 
www.qualitynet.org<http://www.qualitynet.org> (see "Getting Started With 
QualityNet" and "Test Your System.") Additional information about downloading 
PEPPER from My QualityNet can be found at 
http://www.pepperresources.org/PEPPER/DownloadingPEPPER.aspx (includes System 
Setup and Test Guide, Troubleshooting Tips and a guide for Configuration 
Changes for Compatibility with QualityNet).

CAHs may work with their Quality Improvement Organization (QIO) to obtain a 
QualityNet administrator account by visiting 
www.qualitynet.org<http://www.qualitynet.org> and clicking on the Hospitals - 
Inpatient link. Obtaining a My QualityNet account may take several weeks; CAHs 
should plan accordingly.

TMF will conduct a web-based training session for CAH staff providing 
information on PEPPER and how to use it on Thursday, April 28, at 1 p.m. 
central time. To register for the training, CAH staff should visit 
https://tmfevents.webex.com. The training will be recorded and posted on 
http://www.pepperresources.org.

For more information, including the PEPPER distribution schedule, a sample 
PEPPER for CAHs and information about QualityNet accounts, visit the PEPPER 
website<http://www.pepperresources.org/>. CAH staff are encouraged to join the 
e-mail list on this website to receive important notifications about upcoming 
PEPPER distribution and training opportunities.





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