| 词条 | Draft:PS&R Report |
| 释义 |
Much of this is in the style of a how-to guide, which inappropriate for the encyclopedia per NOTHOWTO. Once you remove the how-to material, there's really not much left. -- RoySmith (talk) 14:32, 12 August 2018 (UTC)}} PS&R stands for "Provider and Statistical Reimbursement". This is a system created by CMS for managing reimbursement data for many Medicare reimbursed facilities. The data is summarized into a PS&R Report, which is necessary for most Medicare cost reports.[1] The PS&R system gathers data from the claims processed by the Medicare claims processing system. The summary reports used for the cost reports include data on patient days, reimbursement, Medicare charges, deductibles, coinsurance, and other information.[2] Medicare reimbursed facilities which are required to file cost reports include hospitals, home health agencies (HHAs), skilled nursing facilities, hospices, rural health clinics (RHCs), and federally qualified health centers (FQHCs).[3] There are different reports necessary for each type of facility, with multiple report types for each facility.[4] The data from the PS&R report for a given period often differs from the facility's accounting or billing records. This is because, for some facilities, the PS&R system tracks data differently than billing software, based on Medicare's reimbursement methodology. PS&R reports will show total reimbursement for the period specified, not total reimbursement paid during the period specified.[4] Providers completing cost reports will be required, if necessary, to explain why information on their cost report differs from the information shown on the PS&R report.[5] The amount of reimbursement on the PS&R may determine what type of Medicare cost report the facility is eligible to file. {{cite web|url=https://www.ppsassistant.com/index.php/faq-software#reimbursement|title=FAQ's Cost Reporting|website=ppsassistant.com}} The PS&R report is accessed from CMS's [https://portal.cms.gov EIDM system].[6] A security officer must first be set up in order to access the PS&R report. The process of setting up a security officer may take 7 - 10 days.[7] The reports necessary for the Medicare cost reports are the summary reports, which the user orders and then downloads from the website after it is created. (The detail reports contain sensitive data and must be obtained via other methods.)[1] The summary report will show up in the user's "Report Inbox" on the EIDM PS&R site. [7] Support for registering for and using the PS&R system is available from CMS's EUS (External User Services) Help Desk.[7] References1. ^1 [https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/PSRR/index.html Provider Statistical & Reimbursement Report] 2. ^https://www.cgsmedicare.com/hhh/financial/psr/index.html Provider Statistical and Reimbursement Reports 3. ^https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Public-Use-Files/Cost-Reports/?redirect=/CostReports/ Cost Reports 4. ^https://www.ppsassistant.com/index.php/faq-software FAQ's Cost Reporting 5. ^1 https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/Downloads/fin106c09.pdf Medicare Financial Management Manual Chapter 9 – Provider Statistical & Reimbursement Report 6. ^https://med.noridianmedicare.com/web/jea/audit-reimbursement/cost-reports/psr Provider Statistical & Reimbursement (PS&R) System 7. ^1 2 [https://www.ppsassistant.com/psr_download_instructions Progressive Provider Services PS&R Download Instructions] |
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