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Previous slide Hospitals with hospital-based ESRDs shall submit their cost reports using the current Form CMS 2552-10 with the existing Worksheet I series. p g The cost reports of hospitals with hospital-based ESRDs that claim Medicare bad debts shall not be settled until a revised Worksheet I series is published incorporating the new bad debt calculation. 12-month period the latter of 30 days from the date of this notification or five months following the close of the cost reporting period...
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How to fill out form 2552 Medicare:

01
Obtain form 2552 Medicare from either the official Medicare website or a local Medicare office.
02
Fill in your organization's name, address, and contact information in the appropriate fields on the form.
03
Provide your organization's Medicare provider number, which can be found on previous Medicare correspondence or by contacting the Medicare Administrative Contractor (MAC) for your jurisdiction.
04
Indicate the appropriate fiscal year for which you are reporting on the form.
05
Complete the section that requires you to report the total number of inpatient days provided during the fiscal year in question.
06
Calculate and enter the total number of cost reporting periods during the fiscal year.
07
Fill in the details regarding your organization's cost reporting periods, including start dates, end dates, and length of time covered by each period.
08
Provide information on any administrative changes that occurred during the fiscal year, such as a change in ownership or a switch in accounting methods.
09
Attach any required supporting documentation, such as audited financial statements or cost report worksheets, as specified by the Medicare program instructions.
10
Review the completed form for accuracy and completeness before submitting it to the appropriate MAC.

Who needs form 2552 Medicare:

01
Healthcare organizations, such as hospitals and skilled nursing facilities, that are enrolled in the Medicare program.
02
These organizations must submit form 2552 Medicare as part of their annual cost report, which helps determine reimbursement amounts from Medicare for providing eligible services.
03
The form is required for organizations that need to report the specific details of their inpatient care and associated costs to Medicare.
04
Different providers may have different reporting requirements, so it is essential to consult the Medicare program instructions or contact the MAC for your jurisdiction to determine if you need to complete form 2552 Medicare.
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