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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.
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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
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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.
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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.
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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
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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 ...