Part A Cost Report Audit & Reimbursement

Overview

This page provides information regarding Medicare Part A Cost Report Audit & Reimbursement initiatives, FAQs, and links to Cost Report audit topics. The goal is to provide Medicare-certified institutional providers useful resources to assist with the Cost Report audit process and provide information about CMS Cost Report audit related initiatives.

New PS&R and MCReF Sign-In Experience

CMS has implemented a new sign-in experience for the Provider Statistical & Reimbursement (PS&R) System and Medicare Cost Report E-Filing (MCReF) System. This enhancement improves user access and aligns with CMS security requirements.

Please review the guidance document below for important information regarding the new sign-in process, including access instructions, account requirements, and other resources.

Page Last Modified:
06/08/2026 04:18 PM