Provider Statistical & Reimbursement Report (PS&R)

PS&R reports are produced by a standard system provider by the Centers for Medicare and Medicaid Services (CMS). The PS&R system accumulates Medicare Part A claims data processed on the standard claims processing system. The two primary reports produced by the PS&R system are the Provider Summary Report and Payment Reconciliation Report. The Provider Summary Report contains a summary of Medicare Part A charges, Medicare patient days, deductibles, coinsurance, payments, etc. for each provider for a specified period of time. The Provider Summary Reports are used by providers when preparing their Medicare Cost Reports. The Payment Reconciliation Report provides detailed claim data that supports the Provider Summary Report.

Redesigned PS&R System

PS&R Order Forms

• REM-512 - Exhibit 01

PS&R Extract Files

PS&R Extract Files are used, in conjunction with software vendors, for preparation of the Cost Report. The extract files are electronic representations of line level data on the PS&R Summary Report.

• Instructions
• Extract File Order Form

PS&R to Cost Report Crosswalk

The following spreadsheets are crosswalks between the PS&R Summary Report and the Medicare Cost Report. Providers should only use these as a tool and not as specific instructions in preparation of their Cost Report.

• Hospital and Based Units Crosswalk
• Freestanding HHA Crosswalk