Provider audit and reimbursement: Provider-based designation checklist
CMS has developed a standardized provider-based designation checklist.
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Indirect medical education (IME) adjustment
This gives you the background of indirect medical education cost as well as a link to the 2015 final rule.
Provider audit and reimbursement department (PARD) overview
Here is an overview of the provider audit and reimbursement department's (PARD) primary functions.
Submission of new calendar year (CY) 2025 cccupational mix survey data
On November 20, 2025, CMS published a notice in the Federal Register (90 FR 52406) announcing a new occupational mix survey...
Provider audit master information form
This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate...
Determination of provider-based status
This identifies when a provider seeks a determination of provider-based status for a facility that is located on the main campus...
Outlier reconciliation criteria for IPPS and LTCH PPS hospitals
View this information about outlier reconciliation criteria for IPPS and LTCH PPS hospitals and the latest CMS change request.
Financial Management Manual
View these sections of the Financial Management Manual for information on cost reports and credit balance reports.
Provider Reimbursement Manual
View various sections of the Provider Reimbursement Manual applicable to audit and reimbursement.
End-stage renal disease (ESRD) prospective payment system (PPS)
This is a brief overview of the ESRD PPS.