Home Health Agency PEPPER now available via PEPPER Resources Portal at https://securefile.tmf.org. View a map of HHA PEPPER retrievals by state.

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Current PEPPER User's Guide:

• Home Health Agency PEPPER User’s Guide (PDF, 7th Edition)

PEPPER Training Sessions

• July 2023 HHA PEPPER Review: This webinar includes 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. Download the PowerPoint slides (PDF), transcript (PDF) or Q&As for this PEPPER review.
• Access a complete series of PEPPER training sessions, available as “chapters” for ease of access. A review of a sample HHA PEPPER is also available.
• New PEPPER Format: This session reviews changes to the PEPPER for greater accessibility, cleaner presentation and improved readability. Download the PowerPoint slides (PDF) or the transcript (PDF) for this PEPPER recording.

Data Resources

• Target Area Analysis
• Clinical Group Report
• State Target Area Analysis
• Top State-level Clinical Group
• Peer Group Bar Charts

Demonstration PEPPER:

• HHA Demonstration PEPPER version Q4CY22 (XLSX)

Jurisdictions

• View a list of the 4 MAC jurisdictions and the number of providers in each jurisdiction in total and by state for HHA PEPPER Jurisdictions for Q4CY22 (XLSX).

HHA PEPPER Testimonials

• Learn how an Oklahoma HHA (PDF) tackles length of stay, PEPPER supports efforts.
• Learn how a Louisiana HHA (PDF) tackles high average number of episodes.

Other Resources:

• Refer to this document for guidance on how to create a listing of patients included in the PEPPER target areas (PDF).
• History of Target Area Changes (PDF): This document identifies revisions to existing target areas that have been implemented since the Q4CY16 release. It includes a description of the revision and the expected impact in terms of the number of providers that have "reportable data" (numerator count of 11+) for the target area. This document will be updated on an ongoing basis.
• Access the HHA Medicare Billing Codes Sheet (PDF) from CGS
• Access the (HHA) Medicare Claims Processing Manual (PDF)
• View this slide presentation (PPT, updated 7-11-2013) on percents and percentiles to help understand the differences between “percent” and “percentile” and how they are used in PEPPER.
• View a demonstration (DOC, updated 12-10-2014) Compare Targets report, with associated hospital target area data and graph.