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    How to Obtain the PS&R for your Cost Report Preparation

    cost report hospice

    What is the PS&R and Why It Matters

    The Provider Statistical and Reimbursement (PS&R) system is a vital tool, provided by CMS, that summarizes claims data for Medicare providers.
    Facilities must use PS&R data when completing their annual Medicare Cost Report to ensure accuracy and compliance.
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    Registering for PS&R Access

    1. Go to the CMS Enterprise Portal: Visithttps://portal.cms.gov and select “New User Registration.”
    2. Create Your Account: Follow the prompts to create a CMS Enterprise ID (EIDM account).
    3. Request PS&R Access: Once logged in, choose “Access PS&R System.”
    4. Submit Your Application: Complete the form and submit for approval. You will receive an email when access is granted.

    Download: How to Register for PS&R Access (PDF)

    How to obtain your P&R Report for the Medicare Cost Report

    1. Login to CMS Enterprise Portal: Go tohttps://psr-ui.cms.hhs.gov/psr-ui and sign in with your username and password.
    2. Request a Report: From the top menu, click “Request Report” → “Request Summary.”
    3. Choose Report Type:
      • For Hospice, select “810 Hospice – Non-Hospital Based.”
      • For Home Health, select “329 and 399 HHA PPS.”
    4. Set the Report Period: Choose “Year” for the interval, enter your cost report period, and exclude any unnecessary dates.
    5. Generate and Download the Report: Select PDF & CSV format and submit.
    6. Once ready, download both files and email them to your cost report preparer.

    Download: How to Obtain the PS&R from CMS (PDF)

    FAQs

    Provider Statistical and Reimbursement System (PS&R). The Medicare Provider Statistical and Reimbursement (PS&R) system produces a variety of reports for Medicare Part A providers, Fiscal Intermediaries (FIs), Medicare Administrative Contractors (MACs), and the Centers for Medicare and
    Medicaid Services (CMS). These reports accumulate statistical and payment data for specific provider types, including hospitals, hospital complexes, skilled nursing facilities, hospices, end-stage renal disease facilities, comprehensive outpatient rehabilitation facilities, and home health agencies. The PS&R provides the following:

    • All providers can request their own summary reports directly in the system.
    • Users can define report selection criteria such as report types, numbers, service types and date ranges.
    • Providers can submit online requests for detailed reports. The FI/MAC authorizes and sends them.
    • Reduces the time required to obtain the data needed to complete cost reports by providing a central repository for all claims data.

    An annual report submitted by all institutional providers participating in the Medicare program. The report is submitted on prescribed forms, depending on the type of provider (hospital, skilled nursing facility, etc.). The cost information and statistical data reported must be current, accurate, and detailed enough to support an accurate determination of payments made for the services rendered.

    CMS maintains this data in the Healthcare Provider Cost Reporting Information System (HCRIS).

    CMS Pub. 15-1
    CMS Pub. 15-2

    The Cost Reports are generally due at the end of the fifth month following the provider’s fiscal year. Refer to the Provider Reimbursement Manual (CMS Pub. 15-1 and 15-2) on the CMS Website for details.

    Enterprise Identity Management (EIDM) is a CMS-wide enterprise security and authentication system that serves as the gateway to many CMS systems, including the PS&R system. It supports:

    • Identity Management
    • Access Management
    • Authorization Assistance Workflow Tools
    • Identity Lifecycle Management (Password Reset, Forgot User ID, etc.)

    Provider access to EIDM is located at:
    https://portal.cms.govFAQs for EIDM are located at:
    EIDM FAQs

    Yes, EIDM requires the following:

    • The password must be changed at least every 60 days
    • Password length: 8–20 characters
    • At least 2 letters and 1 number
    • Mixed case (upper + lower)
    • Cannot contain User ID
    • Must differ from the previous 6 passwords
    • Cannot use special characters like? < > ( ) ‘ “ / \ &

    Yes, more than one user at a provider may request access to PS&R through EIDM.

    No, the text image file has been replaced by the PDF format. CSV format is also provided for analysis and extraction into other programs / formats.

    Cost reports are generally due five months after the end of your fiscal year. It’s suggested you wait long enough after your fiscal year-end to allow late-paid claims to be included in PS&R data. However, run your reports early enough to obtain all data before your due date. Contact your Medicare Administrative Contractor at least 45 days before the due date if you encounter any issues.

    Need Help?

    We’re Here to Assist You

    If you need assistance accessing or downloading your PS&R report, please let us know.

    We would be happy to walk you through the process.

     

    If you need assistance to recover your account, you may contact the External User Services Help Desk at https://eus.cms.gov/home

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