Tuesday, March 30, 2010

Provider Statistical and Reimbursement Report (PS&R) Ordering Instructions

Contact the TrailBlazer Audit and Reimbursement Home Office Team assigned to your facility to order a PS&R for cost reporting periods ending prior to January 31, 2009, from the legacy PS&R system.

Providers must register in the national PS&R system and produce their own summary PS&R reports from the PS&R Redesign for cost reporting periods ending on or after January 31, 2009.

Detail PS&R reports must also be ordered directly by the provider through the national PS&R Redesign system for cost reporting periods ending on or after January 31, 2009. TrailBlazer will then receive the detail PS&R request through the national PS&R system and handle the distribution, due to the sensitive data contained within these reports. Once the request is approved, TrailBlazer will send a billing notice to the provider informing them of the amount due, if any. The provider must remit payment to TrailBlazer, following the instructions in the billing notice. Once payment is received by TrailBlazer, the detail PS&R will be shipped via encrypted compact discs to the provider’s physical location.

Note: If a provider orders a detail PS&R report, the option is given to exclude Protected Health Information (PHI). If this is checked and PHI is excluded, there will be no identifiable data on the claims list other than the service dates to link to a patient. If PHI is not excluded, TrailBlazer will encrypt the file prior to the report being sent to the provider. There is no charge for summary PS&R reports. There is also no charge for the first detail PS&R report of the provider’s cost reporting period. Additional detail PS&R reports are subject to a fee.