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DEPARTMENT OF HEALTH SERVICES Division of Medicaid ServicesSTATE OF WISCONSINF01812 (10/2021)WISCONSIN MEDICAID PROGRAM 2021 NURSING HOME COST REPORT SCHEDULE 1: Facility & Preparer Information Macros
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01
Gather all necessary financial and operational data of the nursing home.
02
Understand the rules and regulations set by the government or relevant authority for rate setting.
03
Calculate the costs incurred in providing care and services to the residents.
04
Determine a fair and reasonable profit margin for the nursing home.
05
Consider any additional factors that may impact the rate setting process, such as inflation or changes in reimbursement policies.
06
Submit the rate setting proposal to the appropriate authority for approval.

Who needs nursing home rate setting?

01
Nursing home administrators
02
Government agencies regulating nursing homes
03
Insurance companies
04
Residents and their families
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Nursing home rate setting is the process of determining the rates or costs associated with providing care in a nursing home.
Nursing home administrators or owners are required to file nursing home rate setting.
Nursing home rate setting can be filled out by providing detailed information about the expenses, services provided, and revenue sources of the nursing home.
The purpose of nursing home rate setting is to ensure fair pricing for services provided and to maintain financial stability of the nursing home.
Information such as operating expenses, revenue sources, services provided, and patient demographics must be reported on nursing home rate setting.
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