State Target Area Analysis
Provides state-level statistics for areas identified as potentially at risk for improper Medicare payments in SNFs. The data include the numerator and denominator counts for each target area (number of RUG days, assessments or episodes of care) for Medicare episodes of care ending in each time period (fiscal years 2018, 2019 and 2020), the proportion for each target area, average length of stay for the numerator (not applicable for the “Change of Therapy Assessment” target area), and average and sum of Medicare payment for the “90+ Day Episodes of Care” and “20-day Episodes of Care” target areas for all SNFs in each state with three or more SNFs. There are graphs in the file that compare the target area percents for all states and the nation for each target area. Target area statistics are reported when there are at least three SNFs with a numerator count of at least 11. For more information on the areas identified as potentially at risk for improper payments, please see the SNF PEPPER User’s Guide (PDF, 9th Edition, May 2021 Update).