PEPPER Download Now Available

Carl J. Pucci in Finance & Reimbursement

AHCA has provided the following update regarding the PEPPER download for Q4FY13.

Program for Evaluating Payment Patterns Electronic Report 

Provide your feedback on PEPPER.

The Q4FY13 release of your new Skilled Nursing Facility (SNF) Program for Evaluating Payment Patterns Electronic Report (PEPPER), with statistics through September 2013, is now available for download through the Secure PEPPER Access page at To obtain your SNF's PEPPER, the Chief Executive Officer, President or Administrator of your SNF should: 

  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. 

The SNF PEPPER will be available to download as a Microsoft Excel file for approximately one year. The previous Q4FY12 SNF PEPPER, originally released in August 2013, will be made available via the Secure PEPPER Portal in the summer of 2014; an email notification will be sent when these PEPPERs are available.

New for this release in the SNF PEPPER: The "State" comparison group now includes all SNFs in a state. Previously, the "State" comparison group included all SNFs in a state that were in the same MAC jurisdiction. As a result, state percentiles will be available for most SNFs; state percentiles will differ from the previous PEPPER release.

For more information, visit the SNF Training and Resources section of



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 to access resources for using PEPPER, including recorded web-based training sessions, a sample SNF PEPPER and the current SNF PEPPER User's Guide, which are available on the SNF "Training and Resources" page. PEPPER is distributed by TMF® Health Quality Institute under contract with the Centers for Medicare & Medicaid Services.


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


The PEPPER Team 

Director, Finance & Reimbursement
518-462-4800 x36