Over the last week, I have received a few inquires about a Medicare provider's responsibility with respect to obtaining a Provider Statistical & Reimbursement (PS&R) system report for cost report filing purposes.
On June 12, 2009, the Centers for Medicare & Medicaid Services (CMS) issued Transmittal 153 (Change Request 6519) announcing that the redesigned PS&R system (PS&R Redesign) is available for use.
According to Transmittal 153, the PS&R Redesign is to be used for filing and settling all cost reports with fiscal years ending on January 31, 2009 and later. Further, Transmittal 153 states in part:
"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 have to produce and distribute these summary reports to their providers. It will be the provider's responsibility to obtain their own reports needed for their cost report..."
To gain assess to the PS&R Redesign, Transmittal 153 indicates that users must establish an Individuals Authorized Access to CMS Computer Systems (IACS) account and be approved for PS&R access. Transmittal 153 also states that "[t]he Provider IACS verification process...may take weeks to complete the entire process." So, providers (that file cost reports) should not delay registration.
Information on the IACS process can be found here. Transmittal 153 also contains information regarding IACS registration including a web link. Also, see MLN Matters article MM6519.
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