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How to File a Medicare Cost Report

Each provider taking part in the Medicaid or Medicare program shall submit a uniform Medicare Cost Report and or Medicare Charge Report and related documents required by the Florida Title XIX Long-Term Treatment Reimbursement Plan (Strategy). For Medicare Cost Reports and or Medicare Cost Report periods finishing on or after Dec 31, 2003, cost reports has to be filed using SEXTANT, that October 2003 Electronic Expense Report (ECR); your October 2003 Chart of Accounts; and instructions offered by AHCA. Further, Medicare Cost Reports and or Medicare Cost Report has to be filed within the timeframe specified in the Plan. All required schedules Has to be completed or marked N/A. Note that Schedules I, J and J-2 are only required for providers on 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 address provided below. All additional information and documentation, whether to the Notes Schedule or sent by mail separately, must be referenced on the applicable cost report arrange.

The provider of that Medicare Cost Report or the Medicare Cost Report home business cost report must each stand-alone. Do not point out, see home office cost report on any schedule instead of completing the schedule.

All schedules must be completed with all applicable information each year. Do not reference a prior year report since containing the information requested instead of completing the schedule in the current year cost report.

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

Agency for Health care Administration
Audit Services 2727 Mahan Drive, Mail Stop 21
Tallahassee, Florida 32308

The recognized Medicare Cost Report is going to be determined by utilizing the accrual method of accounting according to generally accepted accounting basics (GAAP) as established with the American Institute of Certified Public Accountants (AICPA), the methods of reimbursement in agreement with Medicare (Title XVIII) Ideas of Cost Reimbursement, your Centers for Medicare together with Medicaid Services Provider Reimbursement Manual (CMS Pub. 15-1) except as modified by way of the Florida Title XIX Long-Term Care Reimbursement Plan, and State of Florida Administrative Code.


The input worksheet is where the bulk of the cost report data are going to be entered. Enter text using proper case; please don't use all capital letters. Enter whole numbers only unless the input number is a percentage. Enter a percentage in decimal form (my partner and i. e. input. 047635 for 4. 7635%). Debits are generally entered as positive phone numbers and credits are typed in as negative numbers unless otherwise specified.

Patient days input fields should not be left blank; these comprise In-House Patient Days; Reserved Bed Days; Holding Bed Days; and Skilled, Second time beginners I, and Intermediate II Medicaid Days. When appropriate it is required that zero be entered.

Other input worksheets that want the input of data are designated which includes a (W) over the worksheet tab (including, Cover (W), B (W), Nited kingdom (W) or L (W), or anything else). Medicaid Cost Report.

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