Critical Access Hospital PEPPER Available Including Upcoming Q4FY22 CAH PEPPER Review Webinar

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

The Q4FY22 release of the Critical Access Hospital (CAH) Program for Evaluating Payment Patterns Electronic Report (PEPPER) with statistics through September 2022 is now available for download through the PEPPER Resources Portal. To obtain your CAH PEPPER, the Chief Executive Officer, President, Administrator, Compliance Officer, Quality Assurance/Performance Improvement Officer, or other authorized user within your organization (selecting a job title closest to their title) should:

  1. Review the instructions and obtain the information required to authenticate access. Note: A new validation code will be required. Validation codes are emailed to the Health Care Quality Information Systems (HCQIS) Access Roles and Profile (HARP) Security Administrator(s) on file. If your facility has a distinct part unit for an inpatient psychiatric facility or inpatient rehabilitation facility, your PEPPERs will be available in the same folder as your CAH PEPPER in the PEPPER Portal. A validation code may also be obtained by contacting the PEPPER Help Desk.
  2. Visit the PEPPER Resources Portal.
  3. Complete all the fields.
  4. Download your PEPPER.

The CAH PEPPER will be available to download for approximately two years.

Go to the CAH “Training and Resources” page to view resources for the Q4FY22 CAH PEPPER and to register for a live webinar on May 16 at 3 p.m. ET.  The direct link to register for the May 16th webinar is here. This webinar will include the history/background of PEPPER, a high-level review of the target areas, a walk-through of a sample PEPPER, and guidance for accessing the PEPPER.


PEPPER is an educational tool that summarizes provider-specific data statistics for Medicare services that may be at risk for improper payments. Providers can use the data to support internal auditing and monitoring activities. Visit the CAH “Training and Resources” page on the PEPPER website to access updated resources for using PEPPER, including recorded web-based training sessions, a sample CAH PEPPER, and the current CAH PEPPER User’s Guide. PEPPER is developed under contract with the Centers for Medicare & Medicaid Services (CMS) by RELI Group, along with its partners TMF® Health Quality Institute and CGS.

Do you have questions or comments about PEPPER or need help obtaining your report? Visit our Help Desk to request assistance with PEPPER. Provide your feedback or suggestions regarding PEPPER through our feedback form.