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This document reports the cost and reimbursement details for Eureka Hospital, detailing expenses, revenues, and settlement calculations related to inpatient and outpatient services, specifically within
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How to fill out cms-2552-96 - hfs illinois

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How to fill out CMS-2552-96

01
Obtain a copy of the CMS-2552-96 form from the CMS website or your local Medicare office.
02
Review the instructions for the form carefully to understand what information is required.
03
Fill out the hospital's identifying information, including name, address, and provider number.
04
Complete the cost report sections, ensuring you accurately enter financial data such as revenues and expenses.
05
Provide any required attachments, such as financial statements or supporting documentation.
06
Review the completed form for accuracy and completeness, ensuring all sections are filled out.
07
Sign and date the form before submission.
08
Submit the CMS-2552-96 form and any accompanying documents to the appropriate Medicare contractor by the deadline.

Who needs CMS-2552-96?

01
Healthcare providers that operate hospitals and seek reimbursement from Medicare under the Acute Care Hospital Inpatient Prospective Payment System (IPPS).
02
Organizations responsible for reporting Medicare costs and claiming reimbursement for services provided to Medicare beneficiaries.
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Medicare Part 2, Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10. This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report (Form CMS-2552-10), by clarifying and revising the existing instructions and by revising existing edits. Effective dates vary.
The PERM program is designed to measure improper payments in the Medicaid and CHIP programs. During each PERM Cycle, CMS hosts multiple provider education sessions which are presented on webinar/conference call platforms.
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The Centers for Medicare and Medicaid Services (CMS) provides health coverage to more than 100 million people through Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance Marketplace.

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CMS-2552-96 is a cost report form used by rural health clinics and certain other healthcare facilities to report their costs and obtain reimbursement from Medicare.
Providers such as rural health clinics and critical access hospitals that seek reimbursement for services rendered to Medicare beneficiaries are required to file CMS-2552-96.
To fill out CMS-2552-96, providers must collect financial data, categorize costs, complete various sections of the form accurately, and ensure compliance with Medicare guidelines before submitting it.
The purpose of CMS-2552-96 is to allow healthcare facilities to demonstrate their costs and facilitate the reimbursement process for Medicare covered services.
The information that must be reported on CMS-2552-96 includes provider identification, cost data, statistical data, and details about services provided, among other financial information.
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