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This document provides a detailed cost report for Edward Hospital for the period from July 1, 2014, to June 30, 2015. It includes certification, cost allocation, statistical data, reconciliation of capital costs, patient revenues, and various financial metrics relevant to inpatient and outpatient services.
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How to fill out cms-2552-10 - hfs illinois
How to fill out cms-2552-10
01
Gather all necessary information about your healthcare facility.
02
Download the CMS-2552-10 form from the official CMS website.
03
Start with Section A: Identify your organization with its name, address, and NPI number.
04
Move to Section B: Provide your fiscal year end date.
05
In Section C, enter your hospital's type and Medicare provider number.
06
Fill out Section D, including ownership and control information.
07
Complete Section E: Report patient days and costs for the reporting period.
08
In Section F, provide details about the cost report preparation.
09
Make sure to include all required supporting documentation.
10
Review your filled form carefully before submission.
11
Submit the form to the appropriate Medicare Administrative Contractor (MAC).
Who needs cms-2552-10?
01
Any Medicare-certified healthcare facility seeking reimbursement for costs associated with inpatient hospital services.
02
Hospitals that participate in the Medicare program and need to report their costs and patient statistics.
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What is cms-2552-10?
CMS-2552-10 is a cost report form used by hospitals and healthcare providers to report costs associated with Medicare and Medicaid services.
Who is required to file cms-2552-10?
All hospitals and healthcare facilities that participate in Medicare, particularly those that are not part of a multi-hospital system, are required to file CMS-2552-10.
How to fill out cms-2552-10?
To fill out CMS-2552-10, providers must gather financial data, complete each section accurately, ensure proper documentation and calculations, and submit it to the designated Medicare Administrative Contractor.
What is the purpose of cms-2552-10?
The purpose of CMS-2552-10 is to determine reimbursement for hospitals and healthcare providers by documenting their costs and services provided under Medicare and Medicaid.
What information must be reported on cms-2552-10?
Information reported on CMS-2552-10 includes financial data such as total costs, patient statistics, revenue sources, and details on services provided by the facility.
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