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11:17:39 am

How to File a Medicare Cost Report


Federal/State program administered with the State of Florida Agency for Health care Administration (AHCA). Each provider participating in the Medicaid or Medicare program shall submit some sort of uniform Medicare Cost Report and or Medicare Charge Report and related documents required through the Florida Title XIX Long-Term Care Reimbursement Plan (Plan). For Medicare Cost Reports and or Medicare Cost Report periods ending on or after Dec 31, 2003, cost reports ought to be filed using SEXTANT, this October 2003 Electronic Expense Report (ECR); this October 2003 Chart with Accounts; and instructions offered by AHCA. Further, Medicaid Cost Report and or Medicare Cost Report must be filed within the timeframe specified inside Plan. All required schedules Has to be completed or marked N/A. Note that Schedules I, J and J-2 are just required for providers with cost or payback repayment.

Limited amounts of supplemental supporting documentation can be added to the Notes Schedule provided within the ECR. Additional supporting documentation or attachments may very well be mailed to the home address provided below. All more information and documentation, whether in the Notes Schedule or sent by mail separately, must be referenced to your applicable cost report arrange.

The provider of this Medicare Cost Reports or the Medicare Cost Report home business cost report must just about every stand-alone. Do not indicate, see home office charge report on any schedule instead of completing the schedule.

All schedules has to be completed with all applicable information annually. Do not reference a prior year report since containing the information requested in lieu of completing the schedule in the current year cost report.

In addition to submitting the ECR per the instructions in Appendix N, one hard copy of the cost report, the certification page, supplemental schedules and attachments, and accountant’s compilation reports must being sent to:

Agency for Healthcare Administration
Audit Services 2727 Mahan Get, Mail Stop 21
Tallahassee, Fl 32308

The recognized Medicare Cost Reports are going to be determined by utilizing this accrual method of accounting as per generally accepted accounting principles (GAAP) as established with the American Institute of Skilled Public Accountants (AICPA), the methods of reimbursement according to Medicare (Title XVIII) Basics of Cost Reimbursement, this Centers for Medicare together with Medicaid Services Provider Repayment Manual (CMS Bar. 15-1) except as modified by the Florida Title XIX Long-Term Care Reimbursement Plan, and Condition of Florida Administrative Coupon.


The input worksheet is where the majority of the cost report data are going to be entered. Enter text applying proper case; please do not use all capital characters. Enter whole numbers just unless the input number is a percentage. Enter a share in decimal form (we. e. input. 047635 for 4. 7635%). Debits are entered as positive amounts and credits are typed in as negative numbers except otherwise specified.

Patient days input fields may not be left blank; these involve In-House Patient Days; Set-aside Bed Days; Holding Base Days; and Skilled, Second time beginners I, and Intermediate II Medicaid Days to weeks. When appropriate it becomes necessary that zero be moved into.

Other input worksheets that require the input of data are designated using a (W) on the worksheet tab (which include, Cover (W), B (W), K (W) or even L (W), or anything else). Medicaid Cost Report.

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