How Do I Conduct a Time Study to Determine Level of Care Expenses for my Hospice?

According to the hospice cost report regulations for form 1984-14, all direct care hospice expenses must be divided by level of care (LOC).  As an example, RN salaries need to be reported separately for Continuous Home Care (CHC), Routine Home Care (RHC), Inpatient Respite Care (IRC) and General Inpatient Care (GIC) patients. Since most facilities … More How Do I Conduct a Time Study to Determine Level of Care Expenses for my Hospice?

Why do I Need to Enter Stats on My Cost Report?

Most Medicare cost report forms have worksheets for entering various statistics, generally the B-series worksheets.  These stats often require gathering significant amounts of data.  Did you ever wonder what purpose they serve? On a PPS (prospective payment system) cost report, the objective is to determine how much cost there is to the facility.  Cost is … More Why do I Need to Enter Stats on My Cost Report?

Medicare Cost Reports When There Is a Change of Ownership

When a facility changes ownership, this is referred to in CMS terms as a “CHOW”.  Many facilities are confused as to the actual CHOW date and how this affects their cost report. Whenever a facility changes ownership, a cost report must be filed as of the date of change. When a facility is sold, the … More Medicare Cost Reports When There Is a Change of Ownership

Computing and Entering Medical Supply Charges for Your HHA

  There is generally much confusion regarding the difference between medical supply charges and medical supply cost on the HHA cost report, and what needs to be entered where. We have been asked countless times what should be entered on Worksheet C,III, lines 15-16.20, column 3 “Total Charges from HHA Record” on form 1728 – … More Computing and Entering Medical Supply Charges for Your HHA

When May I File a Low Utilization Cost Report?

A low utilization cost report is an abbreviated version of the Medicare cost report.  It typically includes several of the S series worksheets (statistical data) and the facility’s balance sheet and income statement, with requirements varying by facility and by MAC (intermediary). A low utilization cost report never requires an electronic file (flash drive, CD, etc.), … More When May I File a Low Utilization Cost Report?