Get the free CMS-2552-10

This form is used for calculating the Medicare reimbursement settlement under TEFRA for inpatient hospital services, including various adjustments and other relevant financial details required by

How to fill out cms-2552-10

How to fill out CMS-2552-10

1. Obtain the CMS-2552-10 form from the CMS website or your local Medicare Administrative Contractor.
2. Fill out the provider’s information, including name, address, and provider number at the top of the form.
3. Complete the identification section, providing relevant details about your organization.
4. In Section A, report your covered services and any related costs.
5. Move to Section B to indicate the organization’s cost reporting period.
6. In Section C, detail the patient care statistics as required.
7. Fill out Section D which involves determining the allowable costs for reimbursement.
8. Complete Section E where you will outline the intermediary information.
9. Review all the data entered for accuracy to ensure consistency throughout the form.
10. Submit the completed CMS-2552-10 form to the appropriate Medicare Administrative Contractor.

Who needs CMS-2552-10?

1. Healthcare providers who are seeking reimbursement for Medicare services, particularly those operating skilled nursing facilities or certain types of hospitals.

For pdfFiller’s FAQs

What is CMS-2552-10?

CMS-2552-10 is the Medicare cost report form used by skilled nursing facilities (SNFs) to report their costs and determine their reimbursement rates.

Who is required to file CMS-2552-10?

Skilled nursing facilities that provide Medicare services are required to file CMS-2552-10 to report their costs associated with patient care and other operational expenses.

How to fill out CMS-2552-10?

To fill out CMS-2552-10, facilities must gather financial data, including revenue, expenses, and statistics on patient care, and complete the form according to the specific instructions provided by CMS, ensuring accuracy and compliance with all regulations.

What is the purpose of CMS-2552-10?

The purpose of CMS-2552-10 is to collect data on costs incurred by skilled nursing facilities to ensure appropriate reimbursement from Medicare and to help manage the overall costs of the Medicare program.

What information must be reported on CMS-2552-10?

Information that must be reported on CMS-2552-10 includes facility identification details, financial data related to operating and non-operating expenses, revenue information, patient days, and any adjustments required for proper cost reporting.