Tools & forms: Compliance / Review
Access tools and forms related to the prior authorization program, CERT, and provider audit.
Articles
Article Type
Category
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...
Helpful tips to expedite cost report tentative settlements – worksheet E-1, Part I
To expedite receiving tentative settlement payments, record provider payments and receivables correctly in Worksheet E-1 Part I.
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.
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...
Understanding provider statistical and reimbursement (PS&R) report registration
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.
Election of cost reimbursement for CRNA services
This provides information about submitting election of cost reimbursement for CRNA services for rural and CAH hospitals.
SSI ratio realignment for cost reporting periods starting before October 1, 2013
This pertains to submitting SSI ratio realignment requests to First Coast.