Get the free CMS-2552-10

This document provides instructions for completing Worksheet S-3, Part IV regarding costs related to executive deferred compensation plans, contract labor, and employee benefits for hospitals.

How to fill out cms-2552-10

How to fill out CMS-2552-10

1. Gather necessary financial information and documentation.
2. Obtain the CMS-2552-10 form from the official CMS website or from your Medicare Administrative Contractor.
3. Begin filling out Section A with provider identification information, including name, address, and enrollment number.
4. Complete Section B to report the cost report period and any changes relevant to the reporting.
5. Fill in Section C with financial data concerning revenues and expenses.
6. Provide details in Section D regarding allowable costs, ensuring to follow the specific guidelines for each service area.
7. Complete Section E if you're reporting any adjustments or variations from the prior period.
8. Review all completed sections for accuracy and completeness.
9. Sign and date the certification statement at the end of the form.
10. Submit the CMS-2552-10 form by the established deadline to your Medicare Administrative Contractor.

Who needs CMS-2552-10?

1. Healthcare providers that receive Medicare reimbursement and need to report cost information.
2. End-stage renal disease (ESRD) facilities, skilled nursing facilities, and other types of providers seeking reimbursement.
3. Organizations or facilities that are part of cost reporting under Medicare requirements.

For pdfFiller’s FAQs

What is CMS-2552-10?

CMS-2552-10 is a cost report form used by Medicare providers to report their costs and to settle reimbursements from Medicare for services rendered.

Who is required to file CMS-2552-10?

Medicare-certified providers, specifically institutional providers such as hospitals and skilled nursing facilities, are required to file CMS-2552-10 to report their financial information.

How to fill out CMS-2552-10?

To fill out CMS-2552-10, providers must gather financial data, categorize expenses, allocate costs according to Medicare rules, and accurately complete the required sections of the form as per the instructions provided by CMS.

What is the purpose of CMS-2552-10?

The purpose of CMS-2552-10 is to establish the costs of services provided by Medicare-certified facilities and to determine the appropriate reimbursement rates from Medicare.

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

CMS-2552-10 requires reporting of various information including total costs, revenue sources, patient information, wages, salary expenses, and other relevant financial data necessary for reimbursement calculations.