Program for Evaluating Payment Patterns Electronic Report

New Home Health Agency PEPPER Available

The Q4CY18 release of the Home Health Agency (HHA) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through December 2018 is now available for download through the PEPPER Resources Portal. To obtain your agency’s PEPPER, the Chief Executive Officer, President, Administrator or Compliance Officer 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 October 1 – December 31, 2018, will be required.
  3. Visit the PEPPER Resources Portal.
  4. Complete all the fields.
  5. Download your PEPPER.

The HHA PEPPER will be available to download for approximately two years. A webinar to review the new PEPPER is scheduled for Thursday, July 18, at 3 p.m. EDT. For more information visit the HHA Training and Resources page.

About PEPPER

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 HHA Training and Resources page at PEPPER.cbrpepper.org to access updated resources for using PEPPER, including recorded web-based training sessions, a sample PEPPER and the HHA PEPPER User’s Guide. 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.

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.