Training & Resources for Critical Access Hospitals

Critical access hospitals receive their PEPPER via QualityNet Portal at

View information on how to download your PEPPER via QualityNet Portal.

To download or save to your computer any of the files on this page, right click on the file name (link) and select "Save Target As...". To receive updates on training and other resources, please join our email list.

Current PEPPER User's Guide:


  • View a list of the 12 MAC jurisdictions and the number of providers in each jurisdiction in total and by state for PEPPER Q4FY13 (XLSX).

PEPPER Training, March 2015:

Demonstration PEPPER:

  • Demonstration PEPPER version Q4FY14 (XLS, updated 3/9/2015)

Other Resources:

Coding Tools

These tools have not been maintained/updated. Users should check for more recent Coding Clinic guidelines as well as current CMS guidance regarding patient discharge status codes.

PEPPER Update Training

Join us for an Update on the ST and CAH PEPPER, and for a preview of the new Home Health Agency PEPPER.

When: Tuesday, May 5, 11:00 am -12:00 pm CT

Registration is not required! Use this link to join the event:

Join Event
Event number: 924 283 986
Event password: daisy

The handout will be available here by May 4, 2015.

Please join the event 15 minutes before the start time in order to ensure you are able to participate. Individuals are encouraged to listen to the audio portion of the webinar through the on-line broadcast platform using their computer speakers. To connect via telephone, please dial 1-415-655-0003 (toll), the access code is 924 283 986. The session will be recorded; the recording will be posted here within three weeks of the session.