Get the free FORM CMS-2552-10

This document consists of financial worksheets for home health agencies that details the preparation of financial statements and the allocation of costs to various care types based on accounting records,

How to fill out form cms-2552-10

How to fill out FORM CMS-2552-10

1. Obtain FORM CMS-2552-10 from the official CMS website or your local CMS office.
2. Read the instructions carefully to understand the requirements and information needed.
3. Fill out the identification section with the provider’s name, address, and the appropriate CMS identification numbers.
4. Complete the financial information section, ensuring to provide accurate data on the facility's costs and revenues.
5. Include any necessary attachments, such as financial statements or additional documents that support the reported data.
6. Review the information filled out for accuracy and completeness.
7. Sign and date the form at the designated section, certifying that the information is correct to the best of your knowledge.
8. Submit the completed FORM CMS-2552-10 to the appropriate CMS regional office by the deadline.

Who needs FORM CMS-2552-10?

1. Healthcare providers that are seeking reimbursement from Medicare for inpatient services.
2. Facilities like hospitals and skilled nursing facilities required to report costs and other relevant financial information.
3. Organizations that participate in the Medicare program and need to demonstrate compliance with federal regulations.

People Also Ask about

What is the purpose of a 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.

Can I submit form CMS 1763 online?

Each year, Medicare Part A providers must submit an acceptable Medicare Cost Report (MCR) package to their Medicare Administrative Contractor (MAC) for the purposes of determining their Medicare reimbursable cost.

How long to keep Medicare cost reports?

CMS requires that providers submitting cost reports retain all patient records for at least five years after the closure of the cost report.

Who has to file a Medicare cost report?

Cost Report Settlements means the right, title and interest of the Seller in amounts due from Medicare, any state under any state cost-based programs or from any fiscal intermediary or other Payor in connection with the resolution of disputes or adjustments relating to Cost Reports filed for periods ending on or prior

Who controls Medicare costs?

A federal agency called the Centers for Medicare & Medicaid Services runs Medicare. Because it's a federal program, Medicare has set standards for costs and coverage.

Who has to file Medicare cost reports?

Medicare-certified institutional providers are required to submit an annual cost report to a Medicare Administrative Contractor (MAC).

What happens if a Medicare cost report is late?

Medicare cost reports are required to be filed each year. A cost report normally covers a 12-month period and must be submitted within five months of the end of provider's cost reporting period. Filing the cost report before the due date is strongly recommended, as: Filing late — results in payments being suspended.

What is form 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.

For pdfFiller’s FAQs

What is FORM CMS-2552-10?

FORM CMS-2552-10 is the Medicare cost report used by hospitals to report their costs, including the direct and indirect costs incurred in the provision of healthcare services.

Who is required to file FORM CMS-2552-10?

Hospitals that participate in the Medicare program and are paid under the hospital inpatient prospective payment system are required to file FORM CMS-2552-10.

How to fill out FORM CMS-2552-10?

FORM CMS-2552-10 is filled out by entering financial data related to patient care costs, non-patient care costs, and additional supporting schedules as required. Instructions are provided within the form for specific line items.

What is the purpose of FORM CMS-2552-10?

The purpose of FORM CMS-2552-10 is to establish the allowable costs incurred by hospitals in providing healthcare services to Medicare beneficiaries, which is used for reimbursement calculations.

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

The information that must be reported on FORM CMS-2552-10 includes patient care costs, non-patient care costs, revenues from all sources, and details about specific cost centers, among other financial data related to hospital operations.