Get the free Form HCFA-287-92 - cms

This document outlines the provider cost reporting forms and instructions that must be completed by Medicare providers to report costs, including home office costs, to comply with healthcare regulations.

How to fill out form hcfa-287-92 - cms

How to fill out Form HCFA-287-92

1. Obtain the Form HCFA-287-92 from the appropriate government website or office.
2. Begin filling in the applicant's identification information, including name and address.
3. Provide the patient's Medicare number if applicable.
4. Indicate the type of service provided in the designated section.
5. Fill in the date of service and ensure it matches the service details.
6. Document the charges associated with the services rendered.
7. Complete any additional required details, such as provider ID and information about the referring physician.
8. Review the form for any errors or omissions before submission.
9. Sign and date the form where indicated.
10. Submit the completed form to the appropriate Medicare administrative contractor or designated office.

Who needs Form HCFA-287-92?

1. Health care providers who submit claims for Medicare reimbursement.
2. Organizations providing Medicare-covered services that need to report the services rendered.
3. Entities that need to document and claim specific medical services under Medicare.

People Also Ask about

What is a home office cost statement?

The home office cost statement provides the mechanism to allocate allowable HO/CO costs to the healthcare provider components (providers), non-healthcare components, and region/division components.

What is a chain organization CMS?

A chain organization (CO) is an entity that consists of a group of two or more Medicare-certified providers or at least one provider and any other non-provider business or entity that is owned/leased/under common ownership or control.

What is a chain home office Medicare?

For Medicare and/or Medicaid purposes, CMS defines a home office as an entity that provides centralized management and administrative services to the individual members of a chain organization and a chain organization as an entity that consists of a group of two or more Medicare-certified providers (providers) or at

What is an 855 for CMS?

What is the 855A? ❖ The Medicare Enrollment Application for Institutional Providers. ❖ This form is also used to submit changes to your enrollment data.

What type of organization is CMS?

CMS is the federal agency that provides health coverage to more than 160 million through Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance Marketplace. CMS works in partnership with the entire health care community to improve quality, equity and outcomes in the health care system.

What is a CMS in healthcare?

The purpose and mechanics of the two enrollment systems are quite different. Change of Ownership (CHOW): Typically occurs when a Medicare-enrolled provider has been purchased by another organization. The previous owner (or “seller”) and the new owner (or “buyer”) must report these transactions to CMS.

For pdfFiller’s FAQs

What is Form HCFA-287-92?

Form HCFA-287-92 is a document used by healthcare providers to report certain information related to Medicaid services and expenditures.

Who is required to file Form HCFA-287-92?

Healthcare providers and organizations that provide services reimbursed by Medicaid are required to file Form HCFA-287-92.

How to fill out Form HCFA-287-92?

To fill out Form HCFA-287-92, providers must complete sections that include service descriptions, costs associated with the services, and patient information. Detailed instructions are usually provided with the form.

What is the purpose of Form HCFA-287-92?

The purpose of Form HCFA-287-92 is to document and submit claims for reimbursement from Medicaid for healthcare services rendered to eligible patients.

What information must be reported on Form HCFA-287-92?

Form HCFA-287-92 requires reporting of information such as patient demographics, service codes, dates of service, costs for each service, and any applicable payer information.