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  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 Registration Begins January 31, 2009 – April 30, 2009 ASAP May 1, 2009 – June 30, July 1, 2009 – August 31, September 1, 2009 – September 30, October 1, 2009 – January 30,

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 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 Reform

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 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 tingreform

Questions?