Transmittal 18 New Cost Reporting Instructions

On December 29, 2022 CMS finalized and published Transmittal 18 Medicare cost reporting instructions here on its website. Transmittal 18 changes are generally effective for cost reporting periods beginning on or after October 1, 2022, unless noted otherwise.

Toyon’s Transmittal 18 update is summarized in separate articles by the following categories:

I. Worksheet S-10 Uncompensated Care

II. Medicare Empirical Disproportionate Share (DSH)

III. Medicare Bad Debt

IV. COVID-19 Public Health Emergency Updates

V. Graduate Medical EducationVI. Organ Acquisition

VII. Other Notable Changes