Posted by: rvaks on: February 14, 2012
There were a lot of changes recently put out by CMS for the Skilled Nursing Facilities Medicare Cost Report, the SNF 2540 form. So many, in fact, that the name of the form has changed from 2540-96 to the 2540-10. These changes are all in effect for cost reports beginning 12/1/10. The following is a [...]
Posted by: rvaks on: February 13, 2012
CMS recently announced changes to the Rural Health Clinic / Federally Qualified Health Centers Medicare Cost Reports. These changes are effective for Cost Reports with a FYE of 12/31/11 and later. The following is a highlight of the major changes: Worksheet B, Part I: Lines 7.01 (Medical Nutrition Therapist) and 7.02 (Diabetes Self Management Training) [...]
Posted by: rvaks on: February 11, 2012
Now with the new changes to the SNF Medicare Cost Report, questions have come up as to which is the correct version to file for partial year situations. In accordance with TDL 11452, providers with short period cost reports beginning on or after 12/1/10 and ending prior to 11/30/11 should continue to file on the [...]
Posted by: rvaks on: March 28, 2011
ECR files have a standard naming convention of eight characters and a three character extension. Two letters that represent the type of facility (ex. HH = HHA, SN = SNF, HS = Hospice, …) The six digits of the provider number Period Two digit extension for the calendar year of the cost report period end [...]
Posted by: rvaks on: March 24, 2011
The Print Image file is a compressed text file that contains the printed worksheets of the Medicare Cost Report. With the PI file, an auditor can view the cost report pages on a computer screen. The PI file has a three line encryption of a little over 70 characters at the end of the electronic [...]
Posted by: rvaks on: March 21, 2011
ECR stands for Electronic Cost Report. CMS requires most of the Medicare cost reports to be submitted in an electronic file format rather than on paper. CMS approved software must be used to generate the ECR. The software actually produces two files; 1) the ECR file and 2) the PI (Print Image) file. Both of [...]
Posted by: rvaks on: March 17, 2011
Those providers which can have a settlement, have another worksheet on their Medicare cost report that compares interim payments with Medicare reimbursement deserved, and the difference is the settlement, which can be positive or negative. The reimbursement deserved can be based upon costs, such as a Critical Access Hospital or a Rural Health Clinic, or [...]
Posted by: rvaks on: March 14, 2011
The forms of the Medicare Cost Reports are divided by different letter series. Most begin with an S series, which records identifying information on the provider (address, date of Medicare certification, etc.) and volumes of services. The second series is the A series , which records the costs of the Trial Balance by cost centers, [...]
Posted by: rvaks on: March 10, 2011
There are several different types of Medicare Cost Reports, required from various providers. Each has its own form number. 2552 Hospital 2540 Skilled Nursing Facility 1728 Home Health Agency 287 Home Office Cost Statement 265 Renal Dialysis Facility 222 Rural Health Clinic/ Federal Qualified Health Clinic 2088 Community Mental Health [...]
Posted by: rvaks on: March 7, 2011
The Medicare Cost Report is an annual report that is required of various health care providers that participate in the Medicare program. The Cost Report records the provider’s total costs associated with providing services to all patients, and computes the portion of those costs allocated to Medicare patients. For most providers, it also records the [...]