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Form CMS255210 Transmittal 13 Changes Complex 255210 Version 2018.01 February 9, 2018Form CMS255210 Transmittal 13 Changes Contents Review of significant changes in Form CMS255210, Transmittal 13
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How to fill out form cms-2552-10 transmittal 13
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01
To fill out form CMS-2552-10 Transmittal 13, follow these steps:
02
Start by entering the name and address of the provider on the top section of the form.
03
Fill in the specific reporting period and the CMS certification number.
04
Provide the applicable provider information, such as the type of ownership and the type of provider.
05
Enter the information about any changes in ownership during the reporting period.
06
Fill in the details about the provider's cost report period.
07
Include the financial statement data, such as the balance sheet and income statement.
08
Provide information about Medicare, Medicaid, and other payer information.
09
Include details about the provider's charity care and bad debts.
10
Fill in the Medicaid uncompensated care pool data, if applicable.
11
Review the completed form for accuracy and make any necessary corrections before submission.
Who needs form cms-2552-10 transmittal 13?
01
Form CMS-2552-10 Transmittal 13 is needed by healthcare providers who participate in the Medicare program and are required to submit cost reports. This form is used to transmit the cost report data to the Centers for Medicare and Medicaid Services (CMS) for reimbursement purposes.
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