ps&r redesign. provider statistical & reimbursement reports cms total redesign of the...
TRANSCRIPT
PS&R RedesignPS&R Redesign
Provider Statistical & Provider Statistical & Reimbursement ReportsReimbursement Reports
• CMS total redesign of the PS&R system is complete.
• Web-based system with online request capability
•Various report formats (PDF and CSV)
•Online retrieval•Enhanced security•Faster turnaround times
Provider Statistical & Provider Statistical & Reimbursement ReportsReimbursement Reports
Providers and FI/MAC’s are directed to a CMS web site for additional information regarding the redesigned PS&R system at www.cms.hhs.gov/psrr/
The redesigned PS&R will be rolled out by provider fiscal years
First impacted cost reports are the 1/31/09 and after
Provider Statistical & Provider Statistical & Reimbursement ReportsReimbursement Reports
• Cost Report FYE Registration Begins
• January 31, 2009 – April 30, 2009 ASAP
• May 1, 2009 – June 30, 2009 6-1-09
• July 1, 2009 – August 31, 2009 8-1-09
• September 1, 2009 – September 30, 2009 9-1-09
• October 1, 2009 – January 30, 2010 10-1-09
Provider Statistical & Provider Statistical & Reimbursement ReportsReimbursement Reports
• IACS-Individuals Authorized Access to CMS Computer Services
• IACS will be used to gain access to the new PS&R
• Step by step process is available for sign up
Provider Statistical & Provider Statistical & Reimbursement ReportsReimbursement Reports
• IACS Registration Process – Providers can make decisions on
who is going to be the Security Official, User Group Administrator & End Users.
• Providers need to be signed up in IACS in time to get the PS&R for cost report filing
Provider Statistical & Provider Statistical & Reimbursement ReportsReimbursement Reports
• Tips when signing up and using the PS&R redesign.
• One person cannot sign up for multiple roles.
• Do not share user ID and passwords.• Verify that you are requesting PS&R
summary and not PS&R detail. • Verify request on the confirmation
page. (Some PS&R reports may not have data.)
Provider Statistical & Provider Statistical & Reimbursement ReportsReimbursement Reports
• The following slides provide a walk through of the new PS&R system.
• It starts with the log in to the redesigned PS&R system.
Provider Statistical & Provider Statistical & Reimbursement ReportsReimbursement Reports
• A PS&R redesign user manual is available.
• A PS&R redesign quick guide is available.
New MAC JurisdictionsNew MAC Jurisdictions
• Medicare Prescription Drug, Improvement and Modernization Act of 2003 (MMA) signed into law by President Bush December 8, 2003
• The MMA enables the Centers for Medicare & Medicaid Services (CMS) to make significant changes to the Medicare FFS program’s administrative structure
• Goal: make contracting dynamic, competitive, performance-based and generate savings to the Trust Fund
Medicare FFS Contracting ReformMedicare FFS Contracting Reform
Implementing the ChangesImplementing the Changes
• CMS published the Report to Congress 2/7/05• Focused on traditional Medicare FFS
contractors• Combines A & B workloads into 15 Medicare
Administrative Contracts (MACs)• Law requires all existing contracts to be
competed by Sept 2011• Schedule allows for 2 years of slippage
Implementing the Changes Implementing the Changes (cont.)(cont.)
• Jurisdictions and the procurement schedule for the new contractors were announced by CMS on 2/22/05
• CMS plans to award a total of 19 MACs through competitive bidding – 15 Primary A/B MACs servicing the majority
of all provider types (both Part A and Part B)– 4 Specialty MACs (durable medical
equipment suppliers)
Jurisdictions for A/B MACsJurisdictions for A/B MACs
Implementing the ChangesImplementing the Changes
• Protests have taken place in several of the MAC Jurisdictions
• J7 was originally awarded to CIGNA. After the protest it has now been awarded to TrailBlazers. It is again under protest.
• J2, J6, J8, J11, and J15 are all under protest. (J6 includes the state of Wisconsin.)
Web SiteWeb Site
° Contractor Reform
http://www.cms.hhs.gov/medicarecontractingreform
Questions?