Get the free CMS-2552-96

This form collects data related to uncompensated care provided by hospitals, including charity care policies, write-offs, revenues, and costs associated with uncompensated care.

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 relevant governing body.
2. Read the instructions carefully to understand the requirements and sections of the form.
3. Fill out Section A with provider information such as legal name, address, and contact details.
4. Complete Section B to report the provider's cost report period and type of provider.
5. In Section C, input patient care data including total number of patients served and number of patient days.
6. Fill in Section D with financial data, including costs for various categories like labor, non-labor, and capital costs.
7. Complete Section E if you’re claiming any pass-through costs, ensuring you have supporting documentation.
8. Review each section for accuracy and completeness before signing.
9. 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?

1. Healthcare providers that participate in Medicare and are seeking reimbursement.
2. Skilled nursing facilities, home health agencies, and inpatient rehabilitation facilities.
3. Providers that need to report their costs and patient care data for Medicare payment purposes.
4. Institutions conducting cost-based reimbursement under the Medicare program.

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 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.