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How to File a Medicare Cost Report

Each provider playing the Medicaid or Medicare program shall submit a uniform Medicaid Cost Report and or Medicare Expense Report and related documents required by the Florida Title XIX Long-Term Care Reimbursement Plan (Approach). For Medicare Cost Report and or Treatment Cost Report periods ending on or after Dec 31, 2003, cost reports must be filed using SEXTANT, the October 2003 Electronic Expense Report (ECR); that October 2003 Chart with Accounts; and instructions offered by AHCA. Further, Medicare Cost Report and or Medicare Cost Report ought to be filed within the timeframe specified inside Plan. All required schedules Ought to be completed or marked N/A. Note that Schedules I, J and J-2 are just required for providers on cost or payback reimbursement.

Limited amounts of supplemental supporting documentation may be added to the Notes Schedule provided inside 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 the applicable cost report arrange.

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

All schedules has to be completed with all applicable information annually. Do not reference some sort of prior year report as containing the information requested in lieu of completing the schedule in the present year cost report.

Along with submitting the ECR per the instructions in Appendix B, one hard copy in the cost report, the certification page, supplemental schedules together with attachments, and accountant’s compilation reports must to become sent to:

Agency for Healthcare Administration
Audit Services 2727 Mahan Generate, Mail Stop 21
Tallahassee, Florida 32308

The recognized Medicaid Cost Report will be determined by utilizing this accrual method of accounting as per generally accepted accounting basics (GAAP) as established with the American Institute of Skilled Public Accountants (AICPA), the methods of reimbursement in agreement with Medicare (Title XVIII) Basics of Cost Reimbursement, this Centers for Medicare together with Medicaid Services Provider Reimbursement Manual (CMS Pub. 15-1) except as modified with the Florida Title XIX Long-Term Treatment Reimbursement Plan, and Condition of Florida Administrative Coupon.

See attached is not considered valid for Electronic Cost Reporting purposes.

Input areas have cells with a light yellow background. When a choice is required, a brown background is utilized with a dropdown container. Clicking on the arrow to the right of the dropdown box allows for an appropriate selection to remain made. (Appropriate selections has to be made from the dropdown box and avoid a validation error).

When data is entered to the input worksheet, the appropriate schedule changes can be reviewed by clicking to the schedule tab. Many schedules have validity checks built into the system. In some instances, an error message may seem on the applicable schedule to your right side of your row being checked. Within other circumstances, validation checks are an integral part of the applicable schedule.

When data input is completed for the whole Cost Report, the VALIDATE tab ought to be referenced to locate almost any remaining exceptions noted. Medicaid Cost Report.

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