Change Request 6519

To: NHPCO Membership
From: NHPCO Regulatory Team
Re: July 29, 2009
Change Request 6519 - Redesigned Provider Statistical & Reimbursement System
ATTN: Of primary interest to Finance and Billing Staff
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CMS Change Request 6519 (issued June 12, 2009) involves the redesign of the Provider Statistical & Reimbursement system (PS&R) for Medicare Part A providers. The PS&R accumulates statistical and payment data by providers to help in the preparation of Medicare cost reports. The implementation effective date for the redesigned PS&R is July 13, 2009. Further information on the Web-based, redesigned PS&R system is found below. |
The redesigned PS&R system is a centralized, Web-based application whereby a provider will download summary reports via the Internet. These reports are available as needed and can be user defined including date ranges. A provider will be required to register with the Individuals Authorized Access to CMS Computer Systems (IACS) for authentication and security purposes before they can access the PS&R redesign Web site.
CR 6519 provides a scheduled outline of dates for provider registration based on their cost report fiscal year end.
The redesigned PS&R system must be utilized for all cost reports ending or after January 31, 2009. The provider will be responsible to obtain their reports via the Internet and will no longer receive a written Legacy PS&R report from their FI/MAC. However, for fiscal years ending prior to January 31, 2009, the current Legacy PS&R system will be utilized for filing and settlement of cost reports. The Legacy PS&R will not produce reports containing service dates after January 30, 2009. Reports for fiscal years containing claims with a service date through January 31, 2009 and later will be generated by the PS&R redesign.
Providers will also be able to request a detailed PS&R for reconciliation purposes. However, due to the sensitivity of the information, the FI/MAC will securely deliver the detailed report to the provider. A provider may obtain a detailed report at no charge once a year. The FI/MAC may charge a reasonable fee for generating a subsequent detailed report within the same year.
Please refer to the CMS Provider Statistical & Reimbursement Report Web page for additional information.
Member inquiries may be directed to regulatory@nhpco.org.







