Effective May 13, 2025, a new functionality was added to the Medicare Cost Report E-Filing system (MCReF) that allows Medicare Part A providers with the option to access their PS&R summary reports via one-click download for all of its eligible providers/subproviders and eligible fiscal years. The PS&R summary reports will have most of the splits required for cost report submissions and be available in a vendor-ready format. The goal of this new functionality is to make acquiring PS&R summary reports easier (one-click, rather than the current multi-screen flow for custom requests in the PS&R system) and to provide faster access (immediate download, no queue/inbox).

Detailed information on this new functionality is located in the MCReF User Manual located on the CMS website.

CMS hosted a live Medicare Cost Report E-Filing Webinar on March 19, 2025, to introduce the new functionality to download PS&R summary reports in MCReF to the provider and MAC community. The recording of the Medicare Cost Report E-Filing Webinar can be reviewed on the CMS website.

Note: Before using PS&R One-Click Summary Reports, providers should confirm that the default PS&R splits meet their cost report filing needs. If the defaults described do not meet providers' needs for a particular use case, they can continue to request tailored PS&R reports directly in the PS&R system.

e-Filing tips for accelerating CR Processing:

• Use MCReF
  • e-Sign through the ECR software
  • Categorize files appropriately
    • Submit Medicare cost report exhibits using the optional electronic specifications/templates
    • Provides upfront, live notice of potential issues with your exhibits (which, if addressed, minimizes back-and-forth with your MAC)
    • Accelerates cost report acceptance and tentative settlement (with the potential for instant acceptance)
  • Pay attention to warnings