Get the free FORM CMS-2552-10

This form calculates title XVIII settlement for inpatient hospital services under the inpatient PPS and title XVIII Part B settlement for medical and other health services.

How to fill out form cms-2552-10

How to fill out FORM CMS-2552-10

1. Obtain FORM CMS-2552-10 from the CMS website or your healthcare provider.
2. Begin filling out the identification section, including the provider's name, address, and Medicare number.
3. Complete the cost reporting section by entering the necessary financial information related to your services.
4. Include the total number of patient days and hours worked for staff in the appropriate sections.
5. Report the allowable costs by compiling all relevant expense data from the previous reporting period.
6. Review the reimbursement methodology section to ensure accurate reporting of Medicare reimbursement claims.
7. Verify that all calculations are accurate and consistent throughout the form.
8. Attach necessary supplemental schedules, as instructed in the form guidelines.
9. Sign and date the form at the designated area, certifying that the information provided is true and correct.
10. Submit the completed FORM CMS-2552-10 to the appropriate Medicare Administrative Contractor (MAC).

Who needs FORM CMS-2552-10?

1. Healthcare providers and organizations that participate in Medicare and wish to report their costs related to services provided to Medicare beneficiaries.

People Also Ask about

What is the purpose of a cost report?

A cost report is a document that provides an overview of the costs associated with a project. It typically includes information about the budget, actual costs, and any variances between the two. The report can also include details about labor costs, materials, and other expenses related to the project.

Can I submit form CMS 1763 online?

Each year, Medicare Part A providers must submit an acceptable Medicare Cost Report (MCR) package to their Medicare Administrative Contractor (MAC) for the purposes of determining their Medicare reimbursable cost.

How long to keep Medicare cost reports?

CMS requires that providers submitting cost reports retain all patient records for at least five years after the closure of the cost report.

Who has to file a Medicare cost report?

Cost Report Settlements means the right, title and interest of the Seller in amounts due from Medicare, any state under any state cost-based programs or from any fiscal intermediary or other Payor in connection with the resolution of disputes or adjustments relating to Cost Reports filed for periods ending on or prior

Who controls Medicare costs?

A federal agency called the Centers for Medicare & Medicaid Services runs Medicare. Because it's a federal program, Medicare has set standards for costs and coverage.

Who has to file Medicare cost reports?

Medicare-certified institutional providers are required to submit an annual cost report to a Medicare Administrative Contractor (MAC).

What happens if a Medicare cost report is late?

Medicare cost reports are required to be filed each year. A cost report normally covers a 12-month period and must be submitted within five months of the end of provider's cost reporting period. Filing the cost report before the due date is strongly recommended, as: Filing late — results in payments being suspended.

What is form CMS 2552-10?

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.

For pdfFiller’s FAQs

What is FORM CMS-2552-10?

FORM CMS-2552-10 is a federal form used by Medicare-certified providers and suppliers to report their costs and financial information to the Centers for Medicare & Medicaid Services (CMS).

Who is required to file FORM CMS-2552-10?

Hospitals and certain healthcare facilities that are providers of Medicare services are required to file FORM CMS-2552-10 to report their cost and service data.

How to fill out FORM CMS-2552-10?

To fill out FORM CMS-2552-10, providers must gather financial and service data, complete the various sections of the form concerning costs, patient services, and adjustments, and submit it according to CMS guidelines.

What is the purpose of FORM CMS-2552-10?

The purpose of FORM CMS-2552-10 is to enable the accurate calculation of Medicare reimbursement for healthcare providers, ensuring compliance with federal regulations.

What information must be reported on FORM CMS-2552-10?

FORM CMS-2552-10 requires reporting of information including, but not limited to, costs associated with patient care, revenue details, administrative expenses, and other financial data pertinent to the operation of the healthcare facility.