Cost reporting / audit

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Electronic cost report exhibit templates

This is information about exhibit templates for filing a cost report in electronic format.

IRIS XML - CMS Presentation on usage and approved vendors

CMS has approved the following XML IRIS software vendors.

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.

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 Reimbursement Manual

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

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.

Low and no Medicare utilization cost reports

This defines what is required when filing a low or no utilization cost report.

Financial Management Manual

View these sections of the Financial Management Manual for information on cost reports and credit balance reports.