Cost reporting / audit

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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.

Updating your provider master information for PARD

This form is used by Medicare Part A providers who change the default or other contact who receives their interim rate, tentative settlement, NPR and NOC-PR determinations.

Outlier payment calculation for inpatient prospective payment system (IPPS)

This defines the criteria for an outlier case and how it is computed.

Penalties for late filing

These steps are taken when you fail to file your cost report timely.

Instructions for filing an amended cost report

This is what you need to do to correct material errors, comply with regulations, or reflect a contested liability.

Provider audit and reimbursement department (PARD) overview

Here is an overview of the provider audit and reimbursement department's (PARD) primary functions.

Accelerated payment – Part A only

View this article for information about submissions for Part A accelerated payments.

ESRD low volume adjustments CY 2021

View this article for information regarding the ESRD payment changes for Medicare discharges on or after January 1, 2021.

Current and past fiscal year (FY) federal rates

View this article regarding payment changes for Medicare discharges.