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Hospice Program for Evaluating Payment Patterns Electronic Report (PEPPER)

PEPPER provides hospice-specific data statistics for Medicare claims that may be at risk for improper Medicare payments. Each hospice receives a report that compares their claims data statistics with other hospices in the nation. The report is distributed by TMF® Health Quality Institute under contract with the Centers for Medicare & Medicaid Services (CMS). View the Distribution ScheduleExternal Website for distribution dates and methods.

Hospices are encouraged to use this information for internal auditing and monitoring activities with the goal of preventing improper Medicare payments.

To obtain the PEPPER, the Chief Executive Officer, President or Administrator of the hospice should:

  1. Review the Secure PEPPER Access GuideExternal Website.
  2. Review the instructions and obtain the information required to authenticate access.
  3. Visit the PEPPER Resources PortalExternal Website.
  4. Complete all the fields.
  5. Download the PEPPER.

Visit PEPPERresources.orgExternal Websiteto access more information on the Hospice PEPPER, including training and resources for hospicesExternal Website, the Hospice PEPPER User's GuideExternal Websiteand frequently asked questionsExternal Website.

Reviewed: 12.08.21

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