Tag: CMS 2552-10

From: CMS Transmittals – Transmittal 9 – 3/18/16

NEW/REVISED MATERIAL–EFFECTIVE DATE: Cost Reporting Periods Beginning on or After October 1, 2015. 

This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-10) to clarify and correct the existing instructions and incorporate statutory and regulatory changes. Effective dates will vary.

Revisions include:

• Worksheet S-2, Part I:
  • Added question 37.01 to identify former Medicare-Dependent, Small Rural Hospitals (MDH) eligible for the transitional hospital-specific payment.
  • Added question 122 to identify providers reporting state health or other taxes.
  • Clarified instructions for line 169.
• Worksheet S-3, Part I:
  • Shaded line 18, columns 6 & 13.
• Worksheet S-3, Part II:
  • Clarified instructions for capitalized labor costs and general instructions for contract labor.
• Worksheet S-10:
  • Clarified instructions for line 26 for bad debt write offs.
• Worksheet E, Part A:
  • Revised CFR citation in instructions for line 20.
  • Modified instructions for lines 48, 49, and 100 through 104 for former MDHs.
  • Added line 70.88 to report volume decrease adjustments for Sole Community Hospitals (SCH) and MDHs.
• Worksheet D-1, Part IV:
  • Revised the worksheet line reference in column 2 and the corresponding instruction.
• Worksheet D-2, Part II:
  • Corrected the worksheet line references for line 37.
• Worksheet E-1:
  • Modified instructions for line 1, total interim payments paid, to include the amounts related to the volume decrease adjustment for SCHs and MDHs.
• Worksheet I-1:
  • Modified instructions for lines 10 through 16, 25 and 27 related to Erythropoiesis stimulating agents (ESA) costs.
• Worksheet I-2:
  • Clarified instructions for lines 14, 15, 17 and 19 to include all ESA costs on line 14 for cost reporting periods ending on or after October 1, 2015.
• Worksheet L:
  • Added CFR citation references for lines 1 and 1.01

Cost Reporting Forms & Instructions – CMS 2552-10

From: CMS MLN Aricles – MM9310 – 9/25/15

Provider Action Needed

Change Request (CR) 9310 describes changes to billing instructions for various payment policies implemented in the October 2015 ASC payment system update and includes updates to the Healthcare Common Procedure system (HCPCS) used in the ASC payment system.  Make sure your billing staffs are aware of these updates.

Read more…

From: CMS Transmittal 8 (PRM 15-2 Chapter 40) – 9/18/15

Summary of Changes:

This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-10) to clarify and correct the existing instructions and incorporate statutory and regulatory changes. Effective dates will vary.

Revisions include:

• Worksheet S-2, Part I:
  • Added instructions for line 22.01 for cost reporting periods that overlap two federal years.
  • Clarified instructions for line 22.03.
  • Clarified instructions for lines 71 and 76.
  • Added question 87 to identify hospitals classified as “subclause (II)” long term care hospitals (LTCHs)) as described at 42 CFR 412.526(c).
  • Modified the instructions for line 145 to identify a hospital dialysis facility with no Medicare utilization.
  • Added question 168.01 to identify critical access hospitals that qualify for a hardship exception under 42 CFR 413.70(a)(6)(ii)
• Worksheet S-3:
  • Added instructions for column 14, lines 3 and 4, to capture title XIX HMO discharges
• Worksheet A-8-2:
  • Updated reasonable compensation equivalent limits for cost reporting periods beginning on or after January 1, 2015
• Worksheet D-1, Part II:
  • Modified instructions for lines 54 through 63 to calculate the reimbursement for “subclause (II)” LTCHs in accordance with 42 CFR 412.526(c)
• Worksheet E, Part A:
  • Modified instructions for lines 35 through 35.03 for cost reporting periods that overlap two federal years
• Exhibit 4:
  • Modified instructions for lines 20 and 20.01 for hospitals that experience a geographic redesignation
• Exhibit 5:
  • Modified instructions for lines 20 and 20.01 for hospitals that experience a geographic redesignation
  • Modified instructions for lines 30, 31, and 32, and added lines 30.01 and 31.01, for the hospital value-based purchasing payment and the hospital readmission reduction adjustment amounts relative to the hospital specific payment bonus payment amount
• Worksheet E-3, Part I:
  • Modified usage and instructions to include calculation of Medicare reimbursement settlement under TEFRA for “subclause (II)” LTCHs.
• Worksheet E-1 Part II:
  • Clarified instructions for the health information technology incentive payment calculation on line 8.
• Worksheet E-3 Part V:
  • Modified instructions for line 6 for a CAH that is not a meaningful user of electronic health record technology for cost reporting periods beginning in FFY 2015 and subsequent years (cost reporting periods beginning on or after October 1, 2014).
• Worksheet L, Part I:
  • Modified instructions for lines 1 and 1.01 for hospitals that experience a geographic redesignation.
• Worksheet M-1:
  • Added instructions for a federally qualified health center (FQHC) filing as part of the hospital healthcare complex that, effective for cost reporting periods beginning on or after October 1, 2014, the FQHC must complete new FQHC cost reporting worksheets when the worksheets are available.

CMS 2552-10 Provider Cost Report Forms – For Cost Reports Ending on or after FYE 6/30/15