Partial Hospitalization Programs administered through Community Mental Health Centers, Inpatient Rehabilitation Facilities, long-term acute care hospitals and children’s hospitals receive their PEPPER via PEPPER Resources Portal at https://securefile.tmf.org.
Partial Hospitalization Programs administered through short-term acute care hospitals and Inpatient Psychiatric Facilities receive their PEPPER via QualityNet Portal at https://www.qualitynet.org/.
View information on how to download your PEPPER via QualityNet Portal.
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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 (XLS).
PEPPER Question and Answer Session, August 2014:
PEPPER Training Update, February 2013:
PEPPER Training, September 2012:
- Partial Hospitalization Program PEPPER Training: Session 1 (Duration: 31:44): This session reviews the new PEPPER for Partial Hospitalization Programs (PHPs). It includes the history and background of PEPPER, and a description of the areas at risk for improper Medicare payments. It also discusses percents and percentiles and the comparison groups.
- Partial Hospitalization Program PEPPER Training: Session 2 (Duration: 37:00): This session is a demonstration of a PHP PEPPER to review the reports included, and a discussion about how the PEPPER can be used.
- Download the PowerPoint slides (PDF) for the PHP PEPPER training session.
- View questions and answers (DOC) from the September 11, 2012 PHP PEPPER training session.
- PHP question and answer session audio (Duration: 52:12, mp3, requires multimedia player): This question and answer session, held on October 2, 2012, addresses provider questions about PEPPER for PHPs.
- Access a transcript (DOC) of the October 2, 2012 PHP PEPPER question and answer session.
Note: During the October 2, 2012 Partial Hospitalization Program PEPPER Question and Answer session, one of the participants asked if individual psychotherapy sessions of less than 45 minutes were identified in the PEPPER as one unit of individual psychotherapy. The "No Individual Psychotherapy" target area identifies the proportion of episodes of care that did not have any individual psychotherapy (revenue code 0914) or psychiatric testing (revenue codes 0900 or 0918). We did see instances of CPT code 90816 (individual psychotherapy, duration approximately 20-30 minutes) and revenue code 0914 in the PHP claims data, and these instances would have been identified as a unit of individual psychotherapy in the PEPPER.
If PHPs have questions about submitting the technical portion of individual psychotherapy on their PHP claims, they should contact their Medicare Administrative Contractor (MAC) for questions related to billing or claims submission.
- Demonstration PEPPER version Q4FY13 (XLS, updated 3/19/2014)