Wednesday, March 10, 2010

Redesigned Provider Statistical and Reimbursement System

The current PS&R system (Legacy PS&R) has been in use for over twenty years. CMS has redesigned the system and it is now operational. The PS&R Redesign is a centralized, web-based application programmed using current technology. It includes enhancements that will improve access and delivery, as well as increase the system's flexibility

The PS&R Redesign will be utilized for filing and settling all cost reports with fiscal years ending on January 31, 2009 and later. Cost reports with fiscal years ending prior to January 31, 2009 will continue to be filed and settled with the Legacy PS&R system. Due to this transition, the Legacy PS&R will not produce reports containing dates of service after January 30, 2009. Reports for fiscal years containing claims with a service through date of January 31, 2009 and later must be produced by the PS&R Redesign.

CMS will delay the implementation of Phase 2 until January 3, 2011:
  • Change Request (CR) 6417, "Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
  • CR 6421, "Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Supplier Claims Processed by DME MACs"
  • CRs 6417 and 6421 are applicable to Part B claims only
Access an overview of the system, user manuals, quick guides, and other helpful information on the CMS website.