Cost reporting / audit

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 for federally qualified Health centers (FQHCs) that have a written contract with an MA organization.

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

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

This provides information about submitting election of cost reimbursement for CRNA services for rural and CAH hospitals.

This pertains to submitting SSI ratio realignment requests to First Coast.

Here is a list of some of the key points for each section of the provider-based designation attestation.

This outlines the ESRD PPS LVPA instructions for yearly attestations.

The temporary changes to the low-volume hospital payment adjustment originally provided by the Affordable Care Act, and extended by subsequent legislation, which expanded the definition of a low-…

This article clarifies longstanding policy concerning reimbursement for a Medicare bad debt while the account is at a collection agency.