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This document serves as a financial and statistical report for long-term care facilities in Illinois, covering operational data, financial expenses, and compliance with healthcare regulations for
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How to fill out STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES

01
Gather all necessary financial records and documentation for the reporting period.
02
Obtain the official STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) template.
03
Begin with filling out the basic facility information, including the facility name, address, and ID number.
04
Complete the sections related to revenue, including patient revenues, insurance reimbursements, and any other income sources.
05
Fill out the expense sections, detailing operational costs such as staffing, supplies, and administrative expenses.
06
Ensure that all figures are accurate and properly supported by your financial documents.
07
Review each section for compliance with guidelines provided by the Illinois Department of Healthcare and Family Services.
08
Submit the completed report by the designated deadline, ensuring you have retained copies for your records.

Who needs STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT (COST REPORT) FOR LONG-TERM CARE FACILITIES?

01
Long-term care facilities operating in Illinois that require reimbursement for Medicare and Medicaid services.
02
Facilities that need to report their financial health and statistical data to comply with state regulations.
03
Management teams and financial officers of long-term care facilities tasked with maintaining accountability.
04
State agencies that need the data to evaluate the cost and quality of care provided by long-term care facilities.
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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.

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The STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES FINANCIAL AND STATISTICAL REPORT, commonly known as the cost report, is a required document for long-term care facilities in Illinois. This report provides detailed financial and statistical information related to the operation of these facilities and is used to assess and determine reimbursement rates.
All licensed long-term care facilities in Illinois that participate in the Medicaid program are required to file the financial and statistical report annually.
To fill out the cost report, facilities need to gather financial records, including income, expenses, and statistical data related to resident care. The report is typically completed using specific templates provided by the Illinois Department of Healthcare and Family Services and must adhere to guidelines and deadlines set forth by the department.
The purpose of the cost report is to collect and analyze financial and operational data from long-term care facilities, which is then utilized to determine appropriate reimbursement rates for Medicaid services and to ensure financial accountability.
The information that must be reported includes financial data such as total revenues, expenses, staffing levels, resident census, and other operational statistics necessary for evaluating the facility's performance and cost structure.
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