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RDS Program Components

Additional Program Tasks

Quick Access Reports (QAR)

Supplemental Information

Step 12: Review And Submit Reconciliation Payment Request

User Roles:

AM

AR

D

Program Components:

Reconciliation

Overview

This section provides an overview of the following topics related to Step 12: Review and Submit Reconciliation Payment Request:

Introduction to Step 12: Review And Submit Reconciliation Payment Request

The purpose of Step 12: Review and Submit Reconciliation Payment Request is to allow the Authorized Representative to review and submit or reject the Reconciliation final payment request.

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User Role Responsibilities for Step 12: Review And Submit Reconciliation Payment Request

Step 12 can only be completed by the Authorized Representative. The Account Manager or Designee with the Request Payment privilege will have View Only access to this step. Rejecting the Reconciliation payment request will require Steps 9 through 11 to be completed again with any necessary changes by the Account Manager, Designees with the Request Payment privilege, and Cost Reporters.

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Communication for Step 12: Review And Submit Reconciliation Payment Request

After Step 12 is complete and CMS' RDS Center completes the Reconciliation Determination process, CMS' RDS Center will send a Reconciliation Determination Email to the Authorized Representative, Account Manager, and Designee with the Submit Appeal privilege.

If you do not receive this email, contact CMS' RDS Center.

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Timing for Step 12: Review And Submit Reconciliation Payment Request

Step 12 cannot be started until Step 1 through Step 11 has been completed.

To guarantee a correct Reconciliation payment request, the Authorized Representative may revisit Step 12 as frequently as needed, before the step is completed and before the Reconciliation Deadline.

Remember: Reconciliation Step 1 through Step 12 must ALL be completed before the application's Reconciliation Deadline.

CMS' RDS Center processes Reconciliation payment requests after the payment determination is made. All Reconciliation payment requests are processed as timely as possible.

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Rejecting Step 12: Review And Submit Reconciliation Payment Request

If the cost summary is incorrect, the Authorized Representative must reject the Reconciliation payment request in Step 12. Rejecting the Reconciliation payment request will change Step 9 through Step 11 to "Incomplete." These steps must be completed again with any necessary changes before Step 12 can be completed.

Note: After Step 12 is complete, it cannot be changed.

Negative Reconciliation Payment Requests

A negative Reconciliation payment request is considered an overpayment. For more information about overpayments, refer to Satisfy an Overpayment.

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What Happens After Step 12: Review And Submit Reconciliation Payment Request Is Complete

After Step 12 is complete, the status of Step 12: Review and Submit Reconciliation Payment Request changes to "Complete" and the Last Updated Date and Last Updated By fields are updated accordingly. Step 12 is marked with a green check to indicate that the step is complete. The status of the application will change to "Reconciliation Request Completed."

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Step-by-Step Instructions

This section provides step-by-step instructions to complete the following tasks in Step 12: Review And Submit Reconciliation Payment Request:

View the Reconciliation Agreement

To access the RDS Secure Website, and navigate to the Reconciliation Checklist page, refer to instructions to access the Reconciliation Checklist.

On the Reconciliation Checklist page:

  1. Select Step 12: Review and Submit Reconciliation Payment Request.

     Select [Review and Submit Reconciliation Payment Request]

On the Step 12: Review and Submit Reconciliation Payment Request page:

  1. Select View the Reconciliation Agreement to review the Reconciliation Agreement in a new window.

     Select [View the Reconciliation Agreement]

On the Step 12: Reconciliation Agreement page:

  1. Review the Reconciliation Agreement.

     Review the Reconciliation Agreement

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Approve Step 12: Review And Submit Reconciliation Payment Request

To access the RDS Secure Website, and navigate to the Reconciliation Checklist page, refer to instructions to access the Reconciliation Checklist.

On the Reconciliation Checklist page:

  1. Select Step 12: Review and Submit Reconciliation Payment Request.

     Select [Review and Submit Reconciliation Payment Request]

On the Step 12: Review and Submit Reconciliation Payment Request page:

  1. Select the checkbox to indicate that the warnings and instructions have been read.

     Select [Agreement checkbox], Select [Approve]

  2. Select Approve to submit the Reconciliation payment request.

On the Step 12: Reconciliation Payment Request Verification page:

  1. Select the checkbox to indicate that you have read and agree to the Reconciliation Agreement.

     Select [Agreement checkbox], Select [Confirm]

  2. Enter Answers to Security Questions.
  3. Select Confirm to validate the Reconciliation payment request, or select Cancel to return to the Step 12: Review and Submit Reconciliation Payment Request page without completing this step.

On the Step 12: Reconciliation Payment Request Confirmation page:

  1. Print this page for your records, and select Continue to return to the Reconciliation Checklist page.

     Select [Continue]

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Reject Step 12: Review And Submit Reconciliation Payment Request

To access the RDS Secure Website and navigate to the Reconciliation Checklist page, refer to instructions to access the Reconciliation Checklist.

On the Reconciliation Checklist page:

  1. Select Step 12: Review and Submit Reconciliation Payment Request.

     Select [Review and Submit Reconciliation Payment Request]

On the Step 12: Review and Submit Reconciliation Payment Request page:

  1. Select the checkbox to indicate that the warnings and instructions have been read.

     Select [Reject]

  2. Select Reject to reject the Reconciliation payment request.

On the Step 12: Reject Prepared Reconciliation Payment Request page:

  1. Select Confirm to indicate that the Reconciliation Payment Request is rejected or select Cancel to return to the Step 12: Reconciliation Payment Request page.

    Note: Rejecting the Reconciliation Payment Request will require Step 9 through Step 11 to be completed again with any necessary changes. Any changes to the Reconciliation Payment Request must be made by the Account Manager, Designees with the Request Payment privilege, and/or Cost Reporters.

     Select [Confirm]

On the Step 12: Reconciliation Reject Confirmation page:

  1. Select Continue to return to the Reconciliation Checklist page.

     Select [Continue]

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