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This form is used for cost apportionment of inpatient ancillary services in healthcare facilities, allowing providers to report costs, charges, and related information for various service categories.
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How to fill out cms-2552-96

How to fill out CMS-2552-96
01
Obtain the CMS-2552-96 form from the CMS website or your local Medicare office.
02
Begin filling out the header section with the name of the facility, address, and CMS certification number.
03
Provide the reporting period for which you are requesting cost report information.
04
Fill out the section that outlines the general information about the facility, including ownership and type of services provided.
05
Complete the cost reporting section by detailing the applicable costs incurred during the reporting period.
06
Make sure to include all necessary schedules as required, such as those for salaries, expenses, and equipment.
07
Review the data to ensure accuracy and completeness before submission.
08
Sign and date the form to certify that the information provided is true and correct.
Who needs CMS-2552-96?
01
Healthcare facilities and providers seeking reimbursement from Medicare for services rendered.
02
Organizations that need to report their costs and reimbursement amounts to the Centers for Medicare & Medicaid Services.
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People Also Ask about
What is 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. Effective dates vary.
What is the CMS payment error rate measurement program?
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.
What is the purpose of the 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.
What is the CMS code for telehealth?
CMS Telemedicine Reporting Updates CMS will not adopt the new CPT telemedicine codes (98000–98015). Instead, telemedicine visits should be reported using in-person E/M codes (e.g., 99202–99215) with: Modifier 95 for audio-video visits. Place of service codes 02 (non-home location) or 10 (telehealth in home)
What is the CMS fixed loss threshold?
The outlier fixed-loss threshold for FY 2024, which runs from October 1, 2023, through September 30, 2024, is $42,750. Centers for Medicare and Medicaid Services (CMS) pays 80% of costs exceeding DRG payment.
What does CMS mean in medical terms?
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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What is CMS-2552-96?
CMS-2552-96 is a form used by healthcare providers to report costs and request reimbursement from Medicare for services provided to beneficiaries under the Medicare program.
Who is required to file CMS-2552-96?
Healthcare providers, specifically those that operate as skilled nursing facilities or home health agencies, are required to file CMS-2552-96 for reimbursement from Medicare.
How to fill out CMS-2552-96?
To fill out CMS-2552-96, providers must gather necessary financial data, follow the instructions provided with the form, complete all sections accurately, and ensure supporting documentation is attached before submission.
What is the purpose of CMS-2552-96?
The purpose of CMS-2552-96 is to allow healthcare providers to report their costs associated with patient care and seek reimbursement from Medicare for eligible services covered under the program.
What information must be reported on CMS-2552-96?
CMS-2552-96 requires providers to report detailed financial information, including costs related to patient care, administrative expenses, direct and indirect costs, and any other relevant data needed for Medicare reimbursement calculations.
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