
Get the free Medicare Cost Reports - HealthData.gov
Show details
FOR BHF USELL1
2016
STATE OF ILLINOIS
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
FINANCIAL AND STATISTICAL REPORT (COST REPORT)
FOR LONGER CARE FACILITIES
(FISCAL YEAR 2016)I.DPH License ID Number:
Facility
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign medicare cost reports

Edit your medicare cost reports form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your medicare cost reports form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing medicare cost reports online
To use the professional PDF editor, follow these steps:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit medicare cost reports. Replace text, adding objects, rearranging pages, and more. Then select the Documents tab to combine, divide, lock or unlock the file.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
With pdfFiller, it's always easy to work with documents. Check it out!
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out medicare cost reports

How to fill out medicare cost reports
01
To fill out Medicare cost reports, follow these steps:
02
Gather all necessary financial information, including revenue and expenses related to Medicare patients.
03
Determine the appropriate cost reporting form based on your type of facility or organization.
04
Fill out the required sections of the cost reporting form, including information about your facility or organization, patient demographics, services provided, and financial data.
05
Double-check all the information entered to ensure accuracy and completeness.
06
Submit the completed cost report to the appropriate Medicare Administrative Contractor (MAC) or Fiscal Intermediary (FI).
07
Keep a copy of the submitted cost report for your records.
08
Respond promptly to any inquiries or requests for additional information from the MAC or FI.
09
Review the final cost report provided by the MAC or FI for any discrepancies or errors.
10
Make any necessary adjustments or corrections as instructed by the MAC or FI.
11
Retain the final approved cost report for future reference or audits.
Who needs medicare cost reports?
01
Medicare cost reports are required for healthcare facilities and organizations that receive reimbursements from the Medicare program.
02
This includes hospitals, nursing homes, home health agencies, hospices, renal dialysis facilities, and certain other healthcare providers.
03
Medicare cost reports help ensure that these organizations are appropriately reimbursed for the services they provide to Medicare beneficiaries.
04
The reports also serve as a financial record and help Medicare determine the appropriate reimbursement rates for various services.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How do I execute medicare cost reports online?
pdfFiller makes it easy to finish and sign medicare cost reports online. It lets you make changes to original PDF content, highlight, black out, erase, and write text anywhere on a page, legally eSign your form, and more, all from one place. Create a free account and use the web to keep track of professional documents.
Can I edit medicare cost reports on an Android device?
You can make any changes to PDF files, such as medicare cost reports, with the help of the pdfFiller mobile app for Android. Edit, sign, and send documents right from your mobile device. Install the app and streamline your document management wherever you are.
How do I fill out medicare cost reports on an Android device?
Use the pdfFiller mobile app and complete your medicare cost reports and other documents on your Android device. The app provides you with all essential document management features, such as editing content, eSigning, annotating, sharing files, etc. You will have access to your documents at any time, as long as there is an internet connection.
What is medicare cost reports?
Medicare cost reports are forms used by healthcare providers to report their costs for providing services to Medicare beneficiaries.
Who is required to file medicare cost reports?
Certain healthcare providers, such as hospitals and skilled nursing facilities, are required to file medicare cost reports.
How to fill out medicare cost reports?
Medicare cost reports can be filled out online or submitted through the Centers for Medicare & Medicaid Services (CMS) website.
What is the purpose of medicare cost reports?
The purpose of medicare cost reports is to help determine reimbursement rates for healthcare providers participating in the Medicare program.
What information must be reported on medicare cost reports?
Information such as the provider's costs, charges, and utilization of services must be reported on medicare cost reports.
Fill out your medicare cost reports online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Medicare Cost Reports is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.