License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition
End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.
You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin , and related materials internally within your organization within the United States for the sole use by yourself, employees, and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

AMA Disclaimer of Warranties and Liabilities.
CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.
CMS Disclaimer
The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.
This license will terminate upon notice to you if you violate the terms of this license. The AMA is a third party beneficiary to this license.
POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")
End User License Agreement
These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright © 2002, 2004 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.
THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.
IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.
IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.
- Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT-4 is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT-4. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
- Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Please click here to see all U.S. Government Rights Provisions .
- ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT-4 is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT-4. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third-party beneficiary to this Agreement.
- CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. End users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT-4. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.
The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". If you do not agree to the terms and conditions, you may not access or use the software. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen.

Stay Connected

People With Medicare

An official website of the United States government
Here’s how you know

The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

U.S. Dept. of Health & Human Services
CMS Provider Statistical & Reimbursement Report (PS&R)
Guidance for provider statistical and reimbursement report data summarized in various reports, which are used by providers to prepare Medicare cost reports, and by MACs during the audit and settlement process.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 27, 2018
The Provider and Statistical Reimbursement (PS&R) System is a key tool for institutional healthcare providers, Medicare Administrative Contractors (MACs) and CMS. The system accumulates statistical and reimbursement data applicable to the processed and finalized Medicare Part A claims. This data is summarized in various reports, which are used by providers to prepare Medicare cost reports, and by MACs during the audit and settlement process.
Follow the link below for additional information.
HHS is committed to making its websites and documents accessible to the widest possible audience, including individuals with disabilities. We are in the process of retroactively making some documents accessible. If you need assistance accessing an accessible version of this document, please reach out to the [email protected] .
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.
An official website of the United States government Here’s how you know
Official websites use .gov A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS A lock ( lock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.
Search CMS.gov
- Physician Fee Schedule
- Local Coverage Determination
- Medically Unlikely Edits
Provider Statistical & Reimbursement Report
Provider Statistical and Reimbursement (PS&R) System
The Provider and Statistical Reimbursement (PS&R) System is a key tool for institutional healthcare providers, Medicare Administrative Contractors (MACs) and CMS. The system accumulates statistical and reimbursement data applicable to the processed and finalized Medicare Part A claims. This data is summarized in various reports, which are used by providers to prepare Medicare cost reports, and by MACs during the audit and settlement process.
The CMS has redesigned the PS&R system and the new system (PS&R Redesign) is a web-based, centralized system, housed at CMS. The previous PS&R (Legacy PS&R) is housed at each MAC. The PS&R Redesign shall be utilized to file and settle all cost reports with fiscal years ending January 31, 2009 and later. All cost reports with fiscal years ending prior to January 31, 2009 will continue to be filed and settled using data from the Legacy PS&R. The PS&R Redesign will only contain the data needed to file January 31, 2009 cost reports, and later. All data needed prior to that period must continue to be requested from the MAC.
Note – information included on this webpage applies to the PS&R Redesign only. Any information pertaining to the Legacy PS&R will continue to be found in the Medicare Financial Management Manual (CMS Pub. 100-06) Chapter 9, and providers will continue to contact their MAC for more information.
There are numerous reports that may be generated from the PS&R, but they are primarily grouped into two categories, Provider Summary Reports and Payment Reconciliation Reports. Provider Summary Reports contain accumulated data that can be used for cost reporting and data analysis, summarized by specific criteria. The Payment Reconciliation Reports (also known as Detail Reports) contain detailed, claim specific data that supports the Provider Summary reports.
Users may generate their own Provider Summary reports using the PS&R Redesign user interface screens. The reports are available to be printed or downloaded using various methods. The Payment Reconciliation reports may be requested by the provider using the user interface screens, but due to the sensitive data they contain, the reports must be authorized and transmitted to the provider by their MAC.
Prior to accessing the PS&R system, users will first need to register for a user ID and password in CMS' Enterprise Identity Management system (EIDM). EIDM is the CMS identification and authentication system used to access CMS web-based applications. EIDM allows users to obtain one ID and password needed to access multiple web-based systems, one of which is the PS&R system. Links to the EIDM user guides and other helpful EIDM information are located on this page.
Frequently Asked Questions (PDF)
Related Links
- EIDM Support - External User Services
- EIDM Registration and Login

- Support Home
- Ask a Question

Find the answer to your question!
External user service links.
The Centers for Medicare & Medicaid Services (CMS) has setup the External User Services (EUS) help desk. As part of quality customer support, the support site is a dedicated on-line resource to support users of several CMS systems listed below.
Identity & Access Management System (I&A)
National plan and provider enumeration system (nppes) the national plan and provider enumeration system (nppes) assigns the national provider identifier (npi) which are unique identifiers mandated by the health insurance portability and accountability act of 1996 (hipaa). https://nppes.cms.hhs.gov provider enrollment, chain, and ownership system (pecos), identity management system (idm), provider statistical and reimbursement system (ps&r), cms preclusion list.
- Accessibility
- Privacy Policy
- Give Feedback Email * Your Feedback *

How To Access The Provider Statistical & Reimbursement Report
Written by Aaron Carey Posted in Home Health Reimbursement October 30, 2018
It is that time of year again. Cost report season for home health and hospice providers. Cost reports are due five months after your agency fiscal year end. For agencies with a 12/31/16 fiscal year end cost reports are due by 05/31/17. One of the things your cost report preparer will need is the Provider Statistical & Reimbursement (PS&R) report for your agency for 2016.
In addition, all hospice providers must file a self-determined hospice aggregate cap each year. The earliest a hospice may file its self-determined cap is January 31, and the latest is March 31 of each year. The PS&R is utilized in this calculation as well.
In the Daily Newsletter , delivered 03/16/2017, Palmetto GBA provided excellent resources on how to access the PS&R report. Retrieval of PS&R report is not administrative contractor specific so these resources would be applicable to all home health and hospice agencies.
Retrieval of the PS&R report can be a two-step process if agencies have not registered to access their reports. Step one requires user registration and step two is PS&R report retrieval. Follow the links below for clear instruction on both steps. If your agency is already registered as a user proceed directly to step two instructions.
- Step One – User Registration
- Step Two – Retrieve Your PS&R Report
- New to Medicare
- Register for Provider Statistical and Reimbursement Access

What Is Provider Statistical and Reimbursement (PS&R) and Who Should Enroll?
PS&R is one of several CMS applications accessed through their Enterprise Identitity Management (EIDM) website, and it contains various cost report features. Each provider must enroll two people in EIDM:
PS&R Security Official
This person will be requested to submit information about the provider, will set up the access for the provider, and then approve other users.
PS&R User
The PS&R User can order PS&R reports.
How Do I Register?
Registration for EIDM and PS&R is completed through the CMS portal. For instructions, please reference the "EIDM Documentation" section of the "Registration Instructions" link below.
CMS Portal Registration Instructions
What Can I Do with PS&R?
To learn how to order the Summary Report which is used in preparing your annual Medicare Cost Report, access the link below.
Final Steps
Now that you've set everything up it's time to...
- Become a Medicare Expert
Auto Launching . . .
We are attempting to open this content in a new window. You can also access it here: Open Content in New Window
Was this article helpful?
Similar articles that you may find useful:
- Provider Enrollment Training Modules
- Enroll in Medicare
- Enroll in Electronic Claims Submission
- Register for eServices

IMAGES
VIDEO
COMMENTS
The Provider and Statistical Reimbursement (PS&R) System is a key tool for institutional healthcare providers, Medicare Administrative Contractors (MACs) and CMS. The system accumulates statistical and reimbursement data applicable to the processed and finalized Medicare Part A claims.
Obtaining access to PS&R is a 2-step process. You must register in EIDM before requesting access (and be approved) for the PS&R application. Each provider organization must have a designated Security Official (SO). The SO is ultimately responsible for all users in the organization. The SO will: First, register the organization in EIDM,
Access PS&R using the following URL: https://psr-ui.cms.hhs.gov/psr-ui. The following EIDM Terms and Conditions screen will appear; review and accept the terms to continue. The following user ID prompt will appear; provide your EIDM User ID and click "Next", at which point you'll be prompted for your password and a "Log In" button.
The Enterprise Portal is a gateway that provides access to over 50 different Centers for Medicare & Medicaid Services ( CMS) healthcare-based applications. It provides the ability to request access to multiple Portal-integrated CMS applications and to launch/access those applications. Learn more about Enterprise Portal.
All providers can request and access summary reports directly in the PS&R system. MACs no longer produce and distribute these summary reports. If you are having trouble accessing the PS&R report, please email us at [email protected]. We will assist you with logging in to the PS&R system. PS&R Detailed Reports
Providers that file cost reports are required to register for the PS&R system through Individuals Authorized Access to the Centers for Medicare & Medicaid Services (CMS) Computer Services (IDM) to obtain the PS&R reports. The PS&R Redesign will be utilized for all cost reports with fiscal years ending January 31, 2009, and later.
What does PS&R stand for? What is the PS&R? What is a Cost Report? When must the Cost Report be filed? What is EIDM? How do I get to EIDM? And where do I find more information about EIDM? Does my EIDM password expire? Can I have more than one user in my organization request PS&R reports?
Once you have PS&R access granted, you may enter PS&R by using the URL included on the Provider Community page on the PS&R website (www.cms.hhs.gov/psrr) or by selecting PS&R within IACS (by using the "Provider" link on the header of the main IACS page, and selecting the PS&R hyperlink).
Providers are required to register in individuals authorized access to CMS computer services (IDM) and to obtain their PS&R reports via the internet. Providers are reminded to start the IDM registration process at least 60 days prior to their cost report due date. Q21.
The Provider Statistical and Reimbursement (PS&R) reports are generated by a system maintained by the Centers for Medicare and Medicaid Services (CMS). The PS&R system accumulates Medicare Part A data processed by the standard claims processing system. The primary PS&R report is the Provider Summary report, which includes a summary of Medicare ...
The User must have the appropriate role/access to login to the applications. Application User Guide Links All Application User Guides are located at https://www.cms.gov. CMS IDM: https://home.idm.cms.gov CMS IDM User Guide V1.04: https://www.cms.gov/files/document/idm-user-guide-v104.pdf
The PS&R Redesign shall be utilized to file and settle all cost reports with fiscal years ending January 31, 2009 and later. All cost reports with fiscal years ending prior to January 31, 2009 will continue to be filed and settled using data from the Legacy PS&R. The PS&R Redesign will only contain the data needed to file January 31, 2009 cost ...
should assist with the addition of PS&R access to the user's IACS account. The document is located in the "Download" section of the Provider Community and FI/MAC Community links. Providers must produce the Summary PS&R reports needed to file cost reports ending on or after January 31, 2009.
You can check the "Report Inbox" to see the status of your request. You will also use the "Report Inbox" to download the PS&R once it is available. Report generation / availability ranges from immediately to 24 hours. Request Consultation A member of our staff will be in touch with you within 24 hours.
Overview The Provider and Statistical Reimbursement (PS&R) System is a key tool for institutional healthcare providers, Medicare Administrative Contractors (MACs) and CMS. The system accumulates statistical and reimbursement data applicable to the processed and finalized Medicare Part A claims.
30 - Description of Reports Available from Standard PS&R System (Rev. 27, 12-19-03) Two types of reports are produced from the PS&R system. The first consist of statistical reports showing claim activity. These can be used for accounting and audit purposes regarding provider remittance. They are the main output and purpose of the PS&R system.
Go to https://psr-ui.cms.hhs.gov/psr-ui and login with your user name and password. Your biller is the person most likely to have your login information. Click on the "Request Report" link Then click on the "Request Summary" link Select the "By Report Type" button. It should be the default.
The Provider and Statistical Reimbursement (PS&R) System is a key tool for institutional healthcare providers, Medicare Administrative Contractors (MACs) and CMS. The system accumulates statistical and reimbursement data applicable to the processed and finalized Medicare Part A claims.
Access to the PS&R website is gained through IDM account creation, used to request application roles. Access to the Medicare Cost Report e-Filer website is also gained through the IDM system and PS&R application. https://home.idm.cms.gov/ https://psr-ui.cms.hhs.gov/psr-ui/ https://https://mcref.cms.gov/ CMS Preclusion List
Cost reports are due on/before last day of fifth month following close of cost reporting period (fiscal year end) If provider is unable to obtain access to PS&R system, or cannot obtain their PS&R reports, and they contact their contractor for assistance, contractor shall instruct provider how to obtain their reports.
Retrieval of the PS&R report can be a two-step process if agencies have not registered to access their reports. Step one requires user registration and step two is PS&R report retrieval. Follow the links below for clear instruction on both steps. If your agency is already registered as a user proceed directly to step two instructions.
Obtain PS&R Report Providers are required to obtain their own PS&R report(s) for use in preparing the cost report. Please refer to the following articles for instructions on accessing the system and ordering reports. PS&R: Obtain Access via IDM; PS&R: Order Summary Report ; Standard Templates — Hospital Cost Reports
PS&R is one of several CMS applications accessed through their Enterprise Identitity Management (EIDM) website, and it contains various cost report features. Each provider must enroll two people in EIDM: PS&R Security Official. This person will be requested to submit information about the provider, will set up the access for the provider, and ...