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 below 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 Education 
VI. Organ Acquisition 
VII. Other Notable Changes 
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