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August 18, 2026

Home Health Agencies: Download Your 2025 PEPPER

CMS released the 2025 Program for Evaluating Payment Patterns Electronic Report (PEPPER) for home health agencies. Your PEPPER helps you review your billing data to make sure claims are accurate. Use it to:

  • Spot billing patterns that may need review or improvement
  • Identify areas that may need closer monitoring or internal audits
  • Find services that may be under-coded or over-coded
  • Track trends like longer patient stays

How to Get Your PEPPER

Authorized officials (AOs), access managers (AMs), and staff end users (SEUs) can download their organization's report from the PEPPER PortalExternal Website.

How to become an SEU:

  • Sign in to the CMS Identity & Access (I&A) SystemExternal Website using your existing NPPES or PECOS credentials.
  • Request the PEPPER business function for your organization. The Comparative Billing Report business function is also available and you can request it at the same time.
  • Your AO or AM must approve your request.

More Information:

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