August 25, 2026
Long-Term Acute Care Hospitals: Download Your FY 2025 PEPPER
CMS released the FY 2025 Program for Evaluating Payment Patterns Electronic Reports (PEPPER) for long-term acute care hospitals. Your PEPPER helps you review your billing data to make sure claims are accurate. Use it to:
- Spot billing patterns that may need improvement
- Identify areas that may need audits or closer monitoring
- Find diagnosis-related groups that may be under-coded or over-coded
- Track areas where patient stays are getting longer
How to Get Your PEPPER
Authorized officials (AOs), access managers (AMs), and staff end users (SEUs) can download their organization's report from the PEPPER Portal
.
How to become an SEU:
- Sign in to the CMS Identity & Access (I&A) Management System
using your existing NPPES or PECOS credentials. - Request the PEPPER business function under your organization. The Comparative Billing Report business function is also available and can be requested at the same time.
- Your AO or AM must approve your request.
More Information:
- Visit the Training & Resources
webpage for more information about the release and the User Guide - See the I&A Quick Reference Guide
and FAQs
: Step-by-step instructions for AOs and AMs - Contact the External User Services Help Desk


