The Pricer Prospective Payment System (PPS) web site contains PPS pricing information needed for providers who wish to do any of the following:

• Predict payment for services they plan to provide, or

• Calculate the payment they will receive for a particular claim (in order to accurately post accounts receivable), or

• Validate that they have received correct payment for a claim upon receipt of their Medicare remittance advice.

Providers who wish to obtain this information can download free maintained versions of Personal Computer (PC) Pricers that are made available on the web site. 

NOTE: There is no Outpatient PPS PC Pricer at this time, so providers determine their Outpatient PPS payments by using the various pricing and provider files available on the web site.

System Requirements:

The PRICERs can be installed in a Windows environment. You will need an IBM PC or clone with a hard disk drive for Microsoft Windows Version 95 or greater with at least 8MB RAM. Both monochrome and color monitors are supported. A printer is essential to produce the report that displays the PRICER results. Finally, the PRICERS can run in a network environment.

Release Schedule:

For each new release of the PRICERS, the Provider Specific File will contain all quarterly updates. Each new release will replace any previous release.

For a given fiscal year, the PRICER release schedule is as follows:

• Initial Release of PRICERS — October 1
• First Quarterly Release — On or about October 15
• Second Quarterly Release — On or about January 15
• Third Quarterly Release — On or about April 15
• Fourth Quarterly Release — On or about July 15
  

Provider Center
For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) providers, including physicians, other practitioners and suppliers, go to the Provider Center (see under "Related Links Inside CMS" below).

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Page Last Modified: 12/20/2005 12:00:00 AM
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