Get the free CMS-2552-96

This form is used for the calculation of reimbursement settlements for hospitals and subproviders, detailing medical and other health services, costs, reasonable and customary charges, and adjustments

How to fill out cms-2552-96

How to fill out CMS-2552-96

1. Obtain the CMS-2552-96 form from the official CMS website or your local Medicare office.
2. Fill in the provider's information in Section 1, including name, address, and contact details.
3. Complete Section 2 by providing facility type and specific program information.
4. In Section 3, calculate the total number of patient days and input associated data for the reporting period.
5. Fill out Section 4, detailing the allowable costs and any pertinent expenses.
6. Include any adjustments or additional annexes required in Section 5.
7. Review all information for accuracy and completeness.
8. Sign and date the form in Section 6.
9. Submit the completed form to the appropriate Medicare Administrative Contractor (MAC).

Who needs CMS-2552-96?

1. Healthcare providers that participate in Medicare, including skilled nursing facilities, must use CMS-2552-96 to report their costs and request reimbursement.
2. Organizations wishing to demonstrate their eligibility for Medicare cost-based reimbursement also need to complete this form.

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.

For pdfFiller’s FAQs

What is CMS-2552-96?

CMS-2552-96 is a Medicare Cost Report form used by institutional providers to report their costs and services provided to Medicare beneficiaries.

Who is required to file CMS-2552-96?

Institutional providers such as hospitals and skilled nursing facilities that receive Medicare reimbursement are required to file CMS-2552-96.

How to fill out 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.

What is the purpose of CMS-2552-96?

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.

What information must be reported on CMS-2552-96?

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.