Cost reporting / audit

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Tools & forms: Compliance / Review

Access tools and forms related to the prior authorization program, CERT, and provider audit.

Tools & forms: Compliance / Review

Access tools and forms related to the prior authorization program, CERT, and provider audit.

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) that have a written contract with an MA organization.

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, tentative settlement, NPR & NOC-PR determinations.

Approved cost report vendors

CMS has approved the following cost report software vendors for the electronic submission of yearly Medicare cost reports.

Provider Reimbursement Manual

View various sections of the Provider Reimbursement Manual applicable to audit and reimbursement.

Understanding provider statistical and reimbursement (PS&R) report registration

Registration External user services (EUS) help MAC help PS&R request help

FY2027 hospital wage index home page

View the FY27 wage index home page to find the timetable and PUF

Steps to produce a PS&R

These are specific steps to produce your own PS&R report.

Electronic submission of supporting documentation

This is a list of documents that should be sent in electronic format.