Form preview

Get the free CMS-2552-96

Get Form
This form is used for the apportionment of costs related to medical, health services, and vaccine costs, as well as detailed reporting for various outpatient service cost centers and ancillary services.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign cms-2552-96

Edit
Edit your cms-2552-96 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 cms-2552-96 form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit cms-2552-96 online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit cms-2552-96. 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
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
It's easier to work with documents with pdfFiller than you can have believed. Sign up for a free account to view.

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 cms-2552-96

Illustration

How to fill out CMS-2552-96

01
Obtain the CMS-2552-96 form from the official CMS website or relevant governing body.
02
Read the instructions carefully to understand the requirements and sections of the form.
03
Fill out Section A with provider information such as legal name, address, and contact details.
04
Complete Section B to report the provider's cost report period and type of provider.
05
In Section C, input patient care data including total number of patients served and number of patient days.
06
Fill in Section D with financial data, including costs for various categories like labor, non-labor, and capital costs.
07
Complete Section E if you’re claiming any pass-through costs, ensuring you have supporting documentation.
08
Review each section for accuracy and completeness before signing.
09
Submit the form by the specified deadline to your regional Medicare Administrative Contractor (MAC).
10
Keep a copy of the submitted form and any supporting documents for your records.

Who needs CMS-2552-96?

01
Healthcare providers that participate in Medicare and are seeking reimbursement.
02
Skilled nursing facilities, home health agencies, and inpatient rehabilitation facilities.
03
Providers that need to report their costs and patient care data for Medicare payment purposes.
04
Institutions conducting cost-based reimbursement under the Medicare program.
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
4.8
Satisfied
36 Votes

People Also Ask about

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.
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.
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.
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)
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.
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.

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.

CMS-2552-96 is a Medicare Cost Report form used by institutional providers to report their costs and services provided to Medicare beneficiaries.
Institutional providers such as hospitals and skilled nursing facilities that receive Medicare reimbursement are required to file CMS-2552-96.
To fill out CMS-2552-96, providers must gather their financial data, complete the sections of the form according to the instructions provided by CMS, and ensure all required schedules are attached.
The purpose of CMS-2552-96 is to provide Medicare with necessary cost details that are used to determine the reimbursement rates for services provided to Medicare beneficiaries.
Key information that must be reported on CMS-2552-96 includes total expenses, patient care activities, facilities costs, and any other relevant financial data required for cost determination.
Fill out your cms-2552-96 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.