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BASIC CARE FACILITY COST REPORT INSTRUCTIONS NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES FISCAL ADMINISTRATION - PROVIDER AUDIT SFN 134 Rev. 06-12 Page 1 GENERAL INFORMATION The cost report schedules and other data required on the cost report provides the cost basis for the determination of rates to be paid to basic care facilities.
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How to fill out BASIC CARE FACILITY COST REPORT INSTRUCTIONS

01
Gather all financial documentation for the reporting period.
02
Complete the identification section with facility details.
03
List all revenue sources, including state and federal funding.
04
Detail all expenses, categorizing them into direct and indirect costs.
05
Reconcile all accounts to ensure accuracy in reported figures.
06
Calculate total costs and allocate them appropriately across service lines.
07
Review instructions for any specific state or local reporting requirements.
08
Submit the completed report by the specified deadline.

Who needs BASIC CARE FACILITY COST REPORT INSTRUCTIONS?

01
Administrators of basic care facilities
02
Financial personnel within healthcare organizations
03
State regulatory agencies overseeing facility operations
04
Any entity required to report financial information for compliance or funding purposes.
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CMS requires that providers submitting cost reports retain all patient records for at least five years after the closure of the cost report.
Contents Break down the project scope into deliverables or phases. Estimate the duration of each deliverable or phase. Calculate the cost of each task and deliverable. Add external costs. Calculate the total project cost estimate. Get your quote approved internally. Share the estimate with your prospect or client.
A standard cost report format is a set of rules and guidelines that define how to structure, present, and communicate cost information. It can include elements such as headings, categories, units, formulas, charts, and tables.
You can use these steps to calculate a cost analysis ratio: Determine the reason you need a cost analysis. Evaluate cost. Compare to previous projects. Define all stakeholders. List the potential benefits. Subtract the cost from the outcome. Interpret your results.
How to Create a Cost Report? Creating a cost report requires gathering data from multiple sources such as invoices, contracts, and timesheets. This data should then be organized into categories such as labor costs, materials, and overhead expenses.
The cost report contains provider information such as facility characteristics, utilization data, cost and charges by cost center (in total and for Medicare), Medicare settlement data, and financial statement data. CMS maintains the cost report data in the Healthcare Provider Cost Reporting Information System (HCRIS).
However, a typical cost report format should include the following sections: summary, cost elements, cost baseline, cost variance, cost performance index, cost forecast, and analysis. You should also use tables, charts, graphs, and other visual aids to present your data clearly and concisely.
Effective cost reporting typically involves the following elements: Budget Tracking. Budget tracking is monitoring how much has been spent versus the allocated budget. Forecasting. Change Orders. Variance Analysis. Cash Flow Projections. Keep Stakeholders Informed. Control Costs Proactively. Optimize Resource Allocation.

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The BASIC CARE FACILITY COST REPORT INSTRUCTIONS provide guidelines and requirements for facilities to report their financial and operational data to ensure compliance with applicable regulations.
Facilities that provide basic care services and receive state or federal funding or reimbursement are typically required to file the BASIC CARE FACILITY COST REPORT.
To fill out the BASIC CARE FACILITY COST REPORT, facilities should carefully follow the provided instructions, gather accurate financial data, and complete each section of the report honestly and thoroughly.
The purpose of the BASIC CARE FACILITY COST REPORT INSTRUCTIONS is to standardize the financial reporting processes, ensure transparency in facility operations, and establish a basis for reimbursement calculations.
Facilities must report various information including revenues, expenses, patient census data, staffing levels, operational costs, and any other financial data as required by the instructions.
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