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?
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?
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
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
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?
Exciting news! CMS has proposed a rule to allow electronic signatures on Medicare cost report signature pages. Anyone who has ever filed a cost report knows that it is often a hassle to get the signature page from your preparer, have it signed by the administrator or CFO of the facility in blue ink, … More Electronic Signatures – A New Era?
Just a friendly reminder that the due date for those Medicare cost reports is looming! For any facility which closes its books on December 31 (and that is most of them), cost reports will be due this year on May 31. Remember that filing late means withholding of all Medicare payments for as long as … More Medicare Cost Report Due Date Coming Up!