PS&R Redesign. Provider Statistical & Reimbursement Reports CMS total redesign of the PS&R system is...

PS&R RedesignPS&R Redesign

Provider Statistical & Provider Statistical & Reimbursement ReportsReimbursement Reports

• CMS total redesign of the PS&R system is complete.

• Web-based system with online request capability

•Various report formats (PDF and CSV)

•Online retrieval•Enhanced security•Faster turnaround times


Providers and FI/MAC’s are directed to a CMS web site for additional information regarding the redesigned PS&R system at www.cms.hhs.gov/psrr/

The redesigned PS&R will be rolled out by provider fiscal years

First impacted cost reports are the 1/31/09 and after

http://www.cms.hhs.gov/psrr/

http://www.cms.hhs.gov/psrr/


• Cost Report FYE Registration Begins

• January 31, 2009 – April 30, 2009 ASAP

• May 1, 2009 – June 30, 2009 6-1-09

• July 1, 2009 – August 31, 2009 8-1-09

• September 1, 2009 – September 30, 2009 9-1-09

• October 1, 2009 – January 30, 2010 10-1-09


• IACS-Individuals Authorized Access to CMS Computer Services

• IACS will be used to gain access to the new PS&R

• Step by step process is available for sign up


• IACS Registration Process – Providers can make decisions on

who is going to be the Security Official, User Group Administrator & End Users.

• Providers need to be signed up in IACS in time to get the PS&R for cost report filing


• Tips when signing up and using the PS&R redesign.

• One person cannot sign up for multiple roles.

• Do not share user ID and passwords.• Verify that you are requesting PS&R

summary and not PS&R detail. • Verify request on the confirmation

page. (Some PS&R reports may not have data.)


• The following slides provide a walk through of the new PS&R system.

• It starts with the log in to the redesigned PS&R system.


• A PS&R redesign user manual is available.

• A PS&R redesign quick guide is available.

New MAC JurisdictionsNew MAC Jurisdictions

• Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) signed into law by President Bush December 8, 2003

• The MMA enables the Centers for Medicare & Medicaid Services (CMS) to make significant changes to the Medicare FFS program’s administrative structure

• Goal: make contracting dynamic, competitive, performance-based and generate savings to the Trust Fund

Medicare FFS Contracting ReformMedicare FFS Contracting Reform

Implementing the ChangesImplementing the Changes

• CMS published the Report to Congress 2/7/05• Focused on traditional Medicare FFS

contractors• Combines A & B workloads into 15 Medicare

Administrative Contracts (MACs)• Law requires all existing contracts to be

competed by Sept 2011• Schedule allows for 2 years of slippage

Implementing the Changes Implementing the Changes (cont.)(cont.)

• Jurisdictions and the procurement schedule for the new contractors were announced by CMS on 2/22/05

• CMS plans to award a total of 19 MACs through competitive bidding – 15 Primary A/B MACs servicing the majority

of all provider types (both Part A and Part B)– 4 Specialty MACs (durable medical

equipment suppliers)

Jurisdictions for A/B MACsJurisdictions for A/B MACs

Implementing the ChangesImplementing the Changes

• Protests have taken place in several of the MAC Jurisdictions

• J7 was originally awarded to CIGNA. After the protest it has now been awarded to TrailBlazers. It is again under protest.

• J2, J6, J8, J11, and J15 are all under protest. (J6 includes the state of Wisconsin.)

Web SiteWeb Site

° Contractor Reform

http://www.cms.hhs.gov/medicarecontractingreform

Questions?

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