Cost reporting / audit

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Interim rate documentation information

Overview of periodic interim payments (PIP) and non-PIP bi-weekly payments for acute care hospitals.

Prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs)

This gives you a brief overview of IRF PPS.

End-stage renal disease (ESRD) prospective payment system (PPS)

This is a brief overview of the ESRD PPS.

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.

IDM overview and registration procedure

Prior to accessing CMS web-based systems, users must register and receive identification and authentication.

Cost report reopenings

This gives you the acceptance and denial criteria for a reopening.

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.

Cost report appeals

This identifies who has appeal rights, the types of appeals, and filing requirements.

Treatment of Medicare Part C days in the calculation of a hospital's Medicare disproportionate patient percentage

Read this article for guidance for the treatment of Medicare Part C days in the calculation of a provider's Medicare disproportionate share hospital adjustment.

Provider audit and reimbursement: Provider-based designation checklist

CMS has developed a standardized provider-based designation checklist.