Tools & forms: Compliance / Review
Access tools and forms related to the prior authorization program, CERT, and provider audit.
Articles
Article Type
Category
Understanding provider statistical and reimbursement (PS&R) report registration
Approved cost report vendors
CMS has approved the following cost report software vendors for the electronic submission of yearly Medicare cost reports.
Critical access hospitals (CAHs) eligibility overview
This provides the eligibility and criteria to qualify for CAH status.
Cost report appeals
This identifies who has appeal rights, the types of appeals, and filing requirements.
Requests for tentative settlement letters in Spanish
This explains how to request your tentative settlement notification letters in Spanish.
Provider audit and reimbursement: Provider-based designation checklist
CMS has developed a standardized provider-based designation checklist.
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.
Disproportionate share hospital (DSH) adjustment
This briefly identifies the two methods used to determine the disproportionate share as well as the supplementary security...