Get the free FORM CMS-2552-10

This worksheet records the apportionment of total outpatient cost to the types of dialysis treatment furnished and shows the computation of expenses for dialysis items and services provided to Medicare

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 local CMS office.
2. Fill in the provider’s name, address, and CMS certification number at the top of the form.
3. Complete Section A by providing information about the provider's ownership and control.
4. In Section B, report the period covered by the cost report.
5. Fill out Section C with the financial data by entering the appropriate figures for revenues, costs, and adjustments.
6. Follow with Section D, detailing the computation of allowable costs.
7. Review Section E and provide any additional information required.
8. Sign and date the form at the designated place.
9. Submit the completed form to CMS by the deadline specified in the instructions.

Who needs FORM CMS-2552-10?

1. FORM CMS-2552-10 is required by skilled nursing facilities (SNFs) that participate in the Medicare program for reporting their costs.

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 the cost report used by hospitals to inform the Centers for Medicare & Medicaid Services (CMS) about their costs and the services they provide, primarily for Medicare reimbursement purposes.

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

Hospitals that are participating providers in the Medicare program and receive reimbursement for inpatient services are required to file FORM CMS-2552-10.

How to fill out FORM CMS-2552-10?

To fill out FORM CMS-2552-10, hospitals must provide detailed financial information regarding their costs, patient services, and other related data as specified in the instructions provided for the form.

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

The purpose of FORM CMS-2552-10 is to enable CMS to determine the allowable costs associated with inpatient services provided by hospitals, which is essential for calculating Medicare reimbursement.

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

The information reported on FORM CMS-2552-10 includes cost data related to patient care services, revenue sources, salaries, and other operational expenses incurred by the hospital.