Provider Disclosure Statement (PDS) and DRG Payments Available in FISS DDE Please share this article with your Finance/Reimbursement staff. In the past, Empire Medicare Services (EMS) has issued PDS reports its acute care hospitals (provider numbers NN0001 – NN0899) semi-annually and with any Pricer software changes. Effective September 5, 2006, the PDS will no longer be mailed to hospitals. A new function in FISS DDE replaces the need for this. The PDS reports will be available online and providers can generate and print their own reports in-house at any time. This function can also be used to calculate standard DRG claim payments for acute care hospitals. It does not calculate any transfer, cost outlier or new technology payments. Providers may continue to utilize our Medicare Payment Calculator available on the Cost Reporting/A&R Web page. All FISS DDE Users will access this under the Inquiry Menu, Selection 11 (MAP1702), DRG (Pricer/Grouper), which will display additional screens for the Cost Disclosure Inquiry. To display the three new screens of the Cost Disclosure Inquiry, the user will hit the PF8 function key.
All rate data and the from/thru dates on the PDS screens are pulled directly from the FISS Provider Specific File. The dates display the from date of the most recent record and the thru date of the fiscal year end. These dates may not necessarily represent the PPS Pricer or federal fiscal year dates. The online PDS will always use the current rates that are in place at the time your request is entered. When there are prospective rate changes, it is the provider’s responsibility to generate and print an updated PDS report to keep for their records. Providers should not contact EMS Audit & Reimbursement (A&R) for this report, but will need to check with their own hospital staff with access to FISS DDE. In the near future the new FISS DDE screens and documentation will be available to view or print on the Medicare Web site at: http://www.empiremedicare.com/traina/fissindex.htm |
