Form preview

Get the free FORM CMS-2552-10

Get Form
This document is designed to analyze payments made to provider-based home health agencies (HHAs) for services provided to beneficiaries during a specified cost reporting period.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign form cms-2552-10

Edit
Edit your form cms-2552-10 form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your form cms-2552-10 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing form cms-2552-10 online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to use a professional PDF editor:
1
Log into your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit form cms-2552-10. Rearrange and rotate pages, add new and changed texts, add new objects, and use other useful tools. When you're done, click Done. You can use the Documents tab to merge, split, lock, or unlock your files.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out form cms-2552-10

Illustration

How to fill out FORM CMS-2552-10

01
Gather all necessary documentation related to costs, patient encounters, and financial information relevant to the reporting period.
02
Download or obtain FORM CMS-2552-10 from the CMS website or relevant authorities.
03
Begin filling out Section A by entering the provider's name, type, and contact information.
04
Complete Section B by providing the fiscal year start and end dates.
05
Fill in Section C with the cost center allocation, ensuring appropriate categorization of costs.
06
Proceed to Sections D and E to report patient data and reimbursements accurately.
07
Carefully review the instructions for each section to avoid errors and ensure compliance with Medicare requirements.
08
Gather necessary signatures and certifications in Section F.
09
Submit the completed form by the stipulated deadline to the appropriate Medicare administrative contractor.

Who needs FORM CMS-2552-10?

01
Hospitals that participate in Medicare programs.
02
Provider-based entities that need to report their costs for reimbursement.
03
Healthcare facilities seeking cost reporting for cost-based reimbursement.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
31 Votes

People Also Ask about

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.
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.
CMS requires that providers submitting cost reports retain all patient records for at least five years after the closure of the 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
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.
Medicare-certified institutional providers are required to submit an annual cost report to a Medicare Administrative Contractor (MAC).
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.
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

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

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.
Hospitals that are participating providers in the Medicare program and receive reimbursement for inpatient services are required to file 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.
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.
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.
Fill out your form cms-2552-10 online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.