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.
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Tools & forms: Compliance / Review
Access tools and forms related to the prior authorization program, CERT, and provider audit.
COVID-19: RHC and FQHC lump sum payments information
View this information regarding requests for RHC and FQHC lump sum payments in advance due to COVID-19.
Medicare Advantage (MA) supplemental wrap-around payments -- reason code 37098
Medicare Advantage (MA) supplemental wrap-around payments -- reason code 37098 for federally qualified Health centers (FQHCs)...
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...
Electronic submission of supporting documentation
This is a list of documents that should be sent in electronic format.
Low and no Medicare utilization cost reports
This defines what is required when filing a low or no utilization cost report.
Approved cost report vendors
CMS has approved the following cost report software vendors for the electronic submission of yearly Medicare cost reports.
SSI ratio realignment for cost reporting periods starting before October 1, 2013
This pertains to submitting SSI ratio realignment requests to First Coast.