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 Portal
.
How to become an SEU:
- Sign in to the CMS Identity & Access (I&A) System
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:
- Visit the Training & Resources
webpage for more information about the release and the User Guide - See the I&A Quick Reference Guide
and FAQs
: Step-by-step instructions for AOs and AMs - Contact the External User Services Help Desk

- Register
for a webinar on September 24 at 1 pm ET

