Distribution and Cost of PS & Rs
Distribution and Cost of PS&Rs
The Centers for Medicare & Medicaid Services (CMS) has redesigned the Provider Statistics & Reimbursement Report (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. All cost reports with fiscal years ending prior to January 31, 2009, will continue to be filed and settled using data from the Legacy PS&R. The PS&R Redesign will only contain the data needed to file January 31, 2009, cost reports, and later. All data needed prior to that period must continue to be requested from the FI/MAC.
PS&R Redesign
The PS&R Redesign allows all users (Providers, Fiscal Intermediaries/Medicare Administrative Contractors (FIs/MACs), CMS) the ability to download summary PS&R reports via the Internet. Users are able to log on to the system and request their summary reports on an as-needed basis. FIs/MACs no longer have to produce and distribute these summary reports to their providers. It is the provider's responsibility to obtain their own reports needed for their cost report. Providers are also able to request detailed PS&R reports (reconciliation reports) via the Internet, but due to the sensitive data contained within these reports, the FIs/MACs will continue to securely deliver these reports to providers. FIs/MACs may continue to charge a reasonable fee for the generation of the detail reports, in excess of 1 per year.
The PS&R Redesign will produce a detail report in either a Portable Document Format (PDF) or Comma-Separated Value (CSV) format; however, there is a 500-page limit in the PDF format. After providers have requested a detail report through the internet, our Reimbursement staff will download the report to an encrypted CD for delivery to the provider. Our fee for detail reports in excess of 1 per year is $100 per downloaded report. Allow 10-14 days for delivery.
For more information on registering and/or accessing the PS&R Redesign, see Change Request 6519 and CMS's PS&R Website at http://www.cms.hhs.gov/PSRR/ 
.
Legacy PS&R
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 Medicare 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 Legacy 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: Thursday, 18-Mar-2010 05:48:24 CDT
