Transcript Home Health Agency and Hospice Cost Report Flows

PS&R Redesign
Provider Statistical &
Reimbursement 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 &
Reimbursement 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 &
Reimbursement Reports
•
•
•
•
•
•
Cost Report FYE
January 31, 2009 – April 30, 2009
May 1, 2009 – June 30, 2009
July 1, 2009 – August 31, 2009
September 1, 2009 – September 30, 2009
October 1, 2009 – January 30, 2010
Registration Begins
ASAP
6-1-09
8-1-09
9-1-09
10-1-09
Provider Statistical &
Reimbursement 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 &
Reimbursement 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 &
Reimbursement 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 &
Reimbursement 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 &
Reimbursement Reports
• A PS&R redesign user manual is
available.
• A PS&R redesign quick guide is
available.
New MAC Jurisdictions
Medicare FFS Contracting Reform
• 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
Implementing 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
(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 MACs
Implementing 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 Site
° Contractor Reform
http://www.cms.hhs.gov/medicarecontract
ingreform
Questions?