Distribution and Cost of PS & Rs
Under normal circumstances, the Centers for Medicare and Medicaid Services (CMS) require intermediaries to furnish all providers with a PS&R summary report by the end of the fourth month (or 120 days) following the end of the provider's cost reporting period.
CMS also requires that providers, upon request, be furnished one, year-end detail PS&R, free of charge. This one time request may be made at any time following a provider's fiscal year end and prior to our final settlement of the cost report for that period. WPS will furnish to providers, for a fee, additional summary and detail PS&Rs, upon request.
Our current fee schedule is:
| PS&R Summary Report | $100 First provider, including sub-units |
| PS&R Summary Report | $50 Each additional provider per request |
| PS&R Detail Report (CD) | $300 Per provider, including sub-units, for each cost reporting period requested |
These charges apply to PS&Rs requested on paper or electronically. Providers who request a detail and summary report at the same time will only be charged for the detail report. Because detail PS&Rs contain Protected Health Information (PHI), detail PS&Rs are available only on CD, which must be encrypted.
PS&R summary reports are available through a Freedom of Information request at our standard fee schedule rates. PS&R detail reports are not available through Freedom of Information and will only be furnished to the provider. PS&R detail reports will not, under any circumstances, be sent to anyone (including consultants, billing agents or other contractors) other than the provider.
Because the purpose of the PS&R is for cost report filing and settlement, we will not provide detail PS&R data for closed cost reporting periods. Cost reports are typically settled within two years of their initial filing and remain subject to reopening for another three years. Therefore, we will be limiting PS&R detail requests to the last five years of historical data. Providers wishing detail PS&R data beyond five years must demonstrate that they have cost reports from that time period that are currently open or under appeal for PS&R related issues.
Requests for PS&R reports should be submitted using our order form . Requests may also still be sent to us in writing. Please indicate the provider name, Medicare provider number (including any applicable sub-units), the service period and paid date periods desired. Also indicate if you want a detail report, summary report, or both, and if you want the report on paper* or electronically*. Indicate who the report(s) should be sent to and supply a telephone number (and e-mail address for summary reports requested electronically), so that we may contact you if we should run into any difficulties with your request. Under ordinary circumstances, paper reports will be sent within 7 days, from the date we receive the request. Allow 10-14 days for receipt of any detail PS&R requests on CD. Please indicate if these time frames will not meet your particular needs.
If you have any questions in regard to this matter, please contact the Reimbursement Support Team Supervisor.
* Only for PS&R summary requests.
Page Last Updated: Wednesday, 31-Dec-2008 10:49:08 CST
