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Provider Statistical and Reimbursement Reports
The Provider and Statistical Reimbursement (PS&R) System is a key tool for institutional healthcare providers, Fiscal Intermediaries (FIs), Medicare Administrative Contractors (MACs) and CMS. The system accumulates statistical and reimbursement data applicable to the processed and finalized Medicare Part A claims. This data is summarized in various reports, which are used by providers to prepare Medicare cost reports, and by FIs and MACs during the audit and settlement process.
CMS has redesigned the PS&R system and the new system (PS&R Redesign) is a web-based, centralized system, housed at CMS. The previous PS&R (Legacy PS&R) is housed at each FI/MAC. The PS&R Redesign shall be utilized to file and settle all cost reports with fiscal years ending January 31, 2009 and later.
There are numerous reports that may be generated from the PS&R, but they are primarily grouped into two categories, Provider Summary Reports and Payment Reconciliation Reports. Provider Summary Reports contain accumulated data that can be used for cost reporting and data analysis, summarized by specific criteria. The Payment Reconciliation Reports (also known as Detail Reports) contain detailed, claim specific data that supports the Provider Summary reports.
Users may generate their own Provider Summary reports using the PS&R Redesign user interface screens. The reports are available to be printed or downloaded using various methods. The Payment Reconciliation reports (Detail Reports) may be requested by the provider using the user interface screens, but due to the sensitive data they contain, the reports must be authorized and transmitted to the provider by their FI/MAC.
Distribution of PS&R Reports
The PS&R Redesign will allow all users (Providers, FIs/MACs, CMS) the ability to download summary PS&R reports via the internet. Users will be able to log on to the system and request their summary reports on an as-needed basis. FIs/MACs will no longer produce and distribute these summary reports to their providers unless the provider is unable to access the system and informs the contractor of the issue or otherwise instructed by CMS by JSM.
Instructions for Registration
Individuals Authorized Access to the CMS Computer Services (IACS) is the CMS enterprise Identity Management and Authentication system which implements the security requirements of federal legislation, Federal Standards, and CMS policy. In order to protect CMS and user information, all users must register and be approved in CMS' security system prior to accessing applications. IACS is the security system CMS uses to register users and control issuance of User IDs, passwords and access to CMS web-based applications. For more information on IACS and registration, go to the CMS web page - Individuals Authorized Access to the CMS Computer Services (IACS) for an overview and instructions.
PS&R User Manual
Questions
If you have questions, go to the Provider Audit and Reimbursement Contact Information section of the “Telephone Us” page and call the telephone number listed under “Provider Statistical and Reimbursement Reports.”
Page last updated: June 10, 2010
