CMS Pub. 100-06, ch. 8, § 10.6

Reimbursement

(Rev. 89; Issued: 01-13-06; Effective Date: 10-01-05; Implementation Date: 02-13- 06)

Effective October 1, 2005, contractors shall use the STAR Autoload Program (See

Chapter 10 of the STAR Manual on how to use this program.) to update screens 6 and 9

in STAR for any as filed, finalized, or reopened cost reports entered into STAR on or

after October 1, 2005. Contractors must ensure that accurate cost report data appears on

those screens for filed cost reports, the initial Notice of Program Reimbursement (NPR)

and all revised NPRs, as this information is utilized to estimate audit savings.

When issuing an initial NPR on or after October 1, 2005, contractors must use the

Autoload Program to update screens 6 and 9 for the filed cost report and for the initial

NPR. (Note: If Version 8.40 of the Autoload Program was previously used to input

screens 6 and 9 for the filed cost report, this information does not have to be reloaded.)

When issuing a revised NPR after on or after October 1, 2005 contractors must use the

Autoload Program to update screens 6 and 9 for the prior NPR and for the revised NPR

being issued. (NOTE: If Version 8.40 of the Autoload Program was previously used to

input screens 6 and 9 for the prior NPR, this information does not have to be reloaded.)

The reimbursement amounts previously reported on screen 5 prior to running Autoload

Version 8.40 should not change. If a Version of the STAR Autoload Program 8.40 or

higher was not used to populate STAR, it will be necessary to re-create a HCRIS file to

determine if information needs to be re-posted or re-entered on STAR screens 6 and 9.

When recreating a HCRIS file to update STAR screens 6 and 9, you must verify that the

previous amounts reported on screen 5 have not changed after creating the new HCRIS

file. The new HCRIS file may not match the prior as filed, initial NPR, or all revised

NPRs on screen 5, because cost reporting vendors may have changed their cost reporting

software. Contractors must ensure that the amounts on screen 5 do not change from these

previous postings. If after running the Autoload Program the amounts on screen 5

change, contractors must manually re-enter the previously reported amounts on screen 5.

(Screen 6 and 9 shall reflect the revised amounts based on the Autoload Program but

screen 5 will not reflect any adjustments.) This is necessary to ensure that screen 5

reflects the correct as submitted, NPR, or revised NPR amounts. Re-entering data on

screens 6 and 9 will ensure that CMS can compare accurate and consistent cost data to

estimate audit savings.