Medicare cost reports all have signature pages, which must be signed as part of the submission process.  A cost report without a signed signature page does not constitute a valid cost report submission.

In the past, most signature pages had a line which read “Signature of Officer or Administrator of Provider”.  That is no longer the case.

Now the signature line reads “Signature of Chief Financial Officer or Administrator of Provider”.  This means that only the CFO or administrator of the facility is eligible to sign the cost report signature page.

In cases where the CEO/ owner also serves as the CFO, then the CEO/ owner should be eligible to sign.  Consult your MAC as to what title should be put on the title line.

Disclaimer:  This blog does not contain legal advice. What it does contain are our best
explanations, advice, and suggestions to help facilities and cost report preparers to understand the cost report forms and offer suggestions for their preparation. Progressive Provider Services assumes no legal responsibility for the content of this blog, nor for cost reports prepared based on the content herein.