Program for Evaluating Payment
Patterns Electronic Report

Provide your feedback on PEPPER.

Important Alert:

Providers who previously received their PEPPER by mail may now access it through a secure portal from this website. To access the portal click here. Providers who have been receiving their PEPPERs through QualityNet will continue to do so.

For details and more information click here. Sign up to receive an email notification for future PEPPER releases and training.

PEPPER Distribution

TMF will distribute PEPPER according to the schedule and methods below. 

2014 Distribution Schedule

Provider Type Distribution Date Distribution Method
Short-term acute care hospitals 

Quarterly, on or about March 6, June 3 and August 31, 2014

QualityNet secure file exchange

Long-term acute care hospitals  Annually, in early April 2014 Available electronically to the hospital CEO, president or administrator via secure portal on PEPPERresources.org
Critical access hospitals  Annually, on or about April 18, 2014 QualityNet secure file exchange
Inpatient psychiatric facilities  Annually, between April 18 and May 9, 2014 Free-standing IPFs and IPF Distinct Part Units of short-term acute care hospitals: Electronically via QualityNet secure file exchange
 
Inpatient rehabilitation facilities  Annually, on or about April 18, 2014

Free-standing IRFs: Available electronically to the IRF’s CEO, president or administrator via secure portal on PEPPERresources.org
IRF Distinct Part Units of short-term acute care hospitals: Electronically via QualityNet secure file exchange

Hospices Annually, on or about April 25, 2014 Available electronically to the hospice’s CEO, president or administrator via secure portal on PEPPERresources.org
Partial Hospitalization Programs Annually, on or about April 18, 2014

PHPs administered through Community Mental Health Centers, IRFs, long-term acute care hospitals and children’s hospitals: Available electronically to the PHP’s CEO, president or administrator via secure portal on PEPPERresources.org
PHPs administered through short-term acute care hospitals and IPFs via QualityNet secure file exchange

Skilled nursing facilities Annually, on or about May 5 through May 12, 2014 SNFs/swingbeds that are part of a short-term acute care hospital (3rd digit in the PTAN/CMS certification number/provider number = “U”): Electronically via QualityNet secure file exchange

Free-standing SNFs and SNFs that are part of another type of hospital (3rd digit in the PTAN/CMS certification number/provider number = 5 or 6): Available electronically to the SNF’s CEO, president or administrator via secure portal on PEPPERresources.org
Note: SNFs that are part of a critical access hospital will not receive PEPPER.

For those providers receiving their PEPPERs through a secure file exchange with QualityNet: View important information about QualityNet accounts, including how to register.

PEPPERs are uploaded to the My QualityNet accounts of QualityNet Administrators, and those who have QualityNet basic user accounts with the PEPPER Recipient and File Exchange and Search roles. Having trouble downloading your PEPPER from QualityNet? View instructions for downloading your PEPPER.

For those providers that will be receiving their PEPPERs electronically via the secure portal on the PEPPERresources.org website (currently under development):
TMF anticipates the PEPPERs will be made available for download in April/May 2014; they will remain accessible for approximately one year. Join the email list to receive notification when the PEPPER is available.

Please note these requirements:

  1. Access to the PEPPER will be restricted to the provider’s Chief Executive Officer, President or Administrator. Corporate offices and/or facility management companies will need to obtain PEPPERs from each individual provider in their organization.
  2. Requestors will be required to enter their 6-digit CMS certification number (also referred to as a provider number or PTAN). This is *not* the same number as the tax identification number or national provider identification number.
  3. For verification purposes, requestors will be required to enter either a patient control number (found at form locator 03a on the UB04 claim form) *or* a medical record number (found at form locator 03b on the UB04 claim form) for a fee-for-service Medicare patient who received services at the provider during a specified time period (either the “From” or “Through” date on the claim is during the time period) (TMF will determine this time period closer to report distribution).

Note: Only numerical entries can be accepted. If providers use only letters in both of these fields they must contact TMF to request assistance. Patient names cannot be entered due to patient privacy laws.

This will not impact providers who receive their PEPPER via QualityNet. Short-term acute care hospitals, critical access hospitals, inpatient psychiatric facilities, inpatient rehabilitation units of short-term acute care hospitals, partial hospitalization programs administered by short-term acute care hospitals and skilled nursing facilities/swing bed units of short-term acute care hospitals will continue to receive their PEPPER via QualityNet.
 

Information about how to use PEPPER, including recorded training sessions and educational material, is available on the Training & Resources page for each provider type.

Note: Due to data restrictions established by CMS, provider data are not displayed in a time period in PEPPER in any given target area if the numerator or denominator is less than 11. This data restriction may result in a small number of providers either not receiving a PEPPER (numerator count less than 11 in all time periods, all target areas) or their PEPPER may not display data in some time periods for some target areas.