Inpatient Rehabilitation Facilities receive their PEPPER via PEPPER Resources Portal at https://securefile.tmf.org. View a map of IRF PEPPER retrievals by state.

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Current PEPPER User’s Guide:

• Inpatient Rehabilitation Facilities PEPPER User’s Guide (PDF, 11th Edition)

PEPPER Training Sessions

• April 2023 IRF 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) or transcript (PDF), or the Q&As (PDF) for this PEPPER review.
• Access a complete series of PEPPER training sessions, available as “chapters” for ease of access. A review of a sample IRF 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

• National Target Area Analysis
• National Top 20 Rehabilitation Impairment Categories (RICs)
• National Top 20 Case Mix Groups
• National Average Length of Stay by CMG Tier, Discharge Destination
• IRF Target Percent Boundaries for Free-standing IRFs and IRF Distinct Part Units of Short-term Acute Care Hospitals
• State-level Target Area Analysis
• State-level Top 20 Rehabilitation Impairment Categories (RICs)
• State-level Top 20 Case Mix Groups (CMGs)
• State-level Average Length of Stay by CMG Tier, Discharge Destination
• Peer Group Bar Charts

Demonstration PEPPER

• Demonstration PEPPER version Q4FY22 (XLSX)

Jurisdictions:

• View a list of the 12 MAC jurisdictions and the number of providers in each jurisdiction in total and by state for PEPPER Q4FY22 (XLSX).

Other Resources:

• Refer to this document for guidance on how to create a listing of patients included in the PEPPER target areas (PDF).
• Access the 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.