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Details regarding the cost report for hospitals and health care complexes as regulated under 42 CFR 413.20 and 413.24.
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How to fill out cms-2552-10
How to fill out CMS-2552-10
01
Start by downloading the CMS-2552-10 form from the CMS website.
02
Fill in the provider's legal name and the CMS certification number at the top of the form.
03
Complete Section 1 by providing the required information about the provider.
04
In Section 2, enter the fiscal year dates for the cost reporting period.
05
Proceed to Section 3 to provide the costs and revenue information as outlined in the instructions.
06
Fill out Section 4 for any adjustments or other necessary financial reports.
07
Review the entire form for completeness and accuracy.
08
Sign and date the bottom of the form.
09
Submit the completed CMS-2552-10 form to the appropriate Medicare Administrative Contractor.
Who needs CMS-2552-10?
01
Healthcare providers that participate in Medicare and provide skilled nursing services.
02
Freestanding nursing facilities.
03
Medicare certified nursing homes seeking reimbursement for services.
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What is CMS-2552-10?
CMS-2552-10 is the cost report form utilized by skilled nursing facilities (SNFs) to report their costs and services to the Centers for Medicare & Medicaid Services (CMS).
Who is required to file CMS-2552-10?
All skilled nursing facilities (SNFs) that receive Medicare reimbursements are required to file CMS-2552-10 annually.
How to fill out CMS-2552-10?
To fill out CMS-2552-10, facilities need to gather their financial and operational data, complete each section of the form according to the instructions provided, and submit it by the due date.
What is the purpose of CMS-2552-10?
The purpose of CMS-2552-10 is to provide a standardized method for skilled nursing facilities to report their costs, which CMS uses to determine reimbursement rates for services provided to Medicare beneficiaries.
What information must be reported on CMS-2552-10?
CMS-2552-10 requires reporting information such as facility costs, patient days, salaries and wages, operating and non-operating revenues, and costs associated with direct patient care.
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