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Provider audit and reimbursement: Provider-based designation checklist

CMS has developed a standardized provider-based designation checklist.

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.

Outlier payment calculation for inpatient prospective payment system (IPPS)

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

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.

Penalties for late filing

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

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.

Accelerated payment – Part A only

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

Provider audit and reimbursement department (PARD) overview

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

Current and past fiscal year (FY) federal rates

View this article regarding payment changes for Medicare discharges.

Outpatient prospective payment system (OPPS) for hospitals and community mental health centers (CMHCs)

This gives you a brief overview of the outpatient prospective payment system reimbursement.