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7th Jul


PEPPER stands for Program for Evaluating Payment Patterns Electronic Report and provides an educational tool which helps providers identify Medicare services at risk for improper payments by providing a summary of provider-specific data information. Sharing your PEPPER with your therapy team is essential, as this information can be used to support internal auditing and other pro-active activities.


PEPPER reports have been available for Skilled Nursing Facilities to download since May 5, 2014.

PEPPER report

Did you know that as of June 30th 2014, only 49% of SNFs have retrieved their PEPPER report¹?


How to Access Your PEPPER Report:

  1. Review the Secure PEPPER Access Guide.
  2. Visit the Secure PEPPER Access page at
  3. Review the instructions and obtain the information required to authenticate access.
  4. Click on the button to access the Secure Portal.
  5. Complete all the fields.
  6. Download your PEPPER as a Microsoft Excel file.


Visit the following link for PEPPER resources where you can access user’s guides, recorded web-based training sessions, and sample PEPPERs.


Need help obtaining your PEPPER or request PEPPER assistance, please visit TMF® Health Quality Institute Help Desk². You can provide feedback or suggestions regarding PEPPER TMF®³ feedback form.



¹²³ PEPPER is distributed by TMF® Health Quality Institute under contract with the Centers for Medicare & Medicaid Services.


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