CHA News Article

CMS Releases Latest PEPPER Data

The Centers for Medicare & Medicaid Services (CMS) has announced availability of the newest Program for Evaluating Payment Patterns Electronic Report (PEPPER), with statistics through September 2012. PEPPER summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments, helping to support providers’ internal auditing and monitoring activities. Visit for information on using the reports, including recorded web-based training sessions, sample PEPPERs, user guides and FAQs.

PEPPERs were distributed electronically in late March to critical access hospitals (CAHs), inpatient psychiatric facilities (IPF), and inpatient rehabilitation facility (IRF) distinct-part units of short-term acute care hospitals, as well as partial hospitalization programs (PHPs) administered by short-term acute care hospitals. Long-term care hospitals, hospices, free-standing IPFs and IRFs, and PHPs not administered by a short-term acute care hospital will receive their PEPPER in hard copy format via FedEx addressed to their facility’s chief executive officer beginning in mid-April. CMS encourages hospitals to provide feedback on PEPPER so that the reports can be continually improved.