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CMS issues Transmittal 7 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10

March 16th, 2015 No comments

On Friday, March 13th, 2015, CMS issued Transmittal number 7 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10. Transmittal 7 is effective for cost reporting periods ending on or after October 1, 2014.

The transmittal is available at the CMS website:

http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2015-Transmittals-Items/R7P240.html?DLPage=1&DLSort=1&DLSortDir=descending

The major changes reflect Federal Fiscal Year 2015 IPPS Final Rule changes including:

  • The addition of Worksheet S-2, Part I, lines 22.02 and 22.03 to identify newly merged hospitals and hospitals that undergo an involuntary reclassification from urban to rural.
  • The addition of Worksheet-2, Part I, line 40, to identify hospitals that are subject to the Hospital Acquired Condition (HAC) reduction adjustment.
  • The addition of Worksheet E, Part A, lines 22.01, 28.01 and 29.01 to compute the IME adjustment for managed care patients in a teaching hospital and revision to line 49 to add in the IME adjustment amount for managed care patients effective for cost reporting periods beginning on or after October 1, 2014.
  • Instructional revisions to Worksheet E, Part A lines 35, 35.01 and 35.02 to calculate uncompensated care for newly merged hospitals in accordance with the 2015 IPPS Final Rule and Sole Community Hospitals that do not have a hospital uncompensated care payment amount determined by CMS.
  • The addition of Worksheet E, Part A, lines 70.90, 70.91, and 100 through 104 to compute the value based purchasing adjustment amount and the hospital readmissions reduction adjustment amount for Medicare Dependent Hospitals that receive a hospital specific bonus payment amount.
  • Instructional revisions to Worksheet E, Part A, line 34 for hospitals that undergo an involuntary reclassification from urban to rural as a result of CMS’ adoption of new standards for delineating new statistical areas.
  • The addition of Worksheet E, Part A, line 70.99 and Exhibit 5 to reconcile the HAC reduction adjustment amount in accordance with the §3008 of the Patient Protection Affordable Care Act (ACA) of 2010.

Other changes include:

  • The addition of Worksheet S-2, Part I, lines 81, 110 and 171 to identify long term care hospitals that are co-located in another hospital, hospitals that participate in the 410A Demo and hospitals claiming Medicare days for individuals enrolled in 1876 Medicare cost plans.
  • Modified Worksheet E, Part A, lines 1.02, 1.03 and 1.04 to always split Medicare payments for IPPS services at October 1 of each Federal Fiscal year.
  • Clarified instructions to Worksheet E-4, lines 2, 8 and 15 for Direct Graduate Medical Education (GME) FTEs.
  • Revisions to Worksheets E, Part A; E, Part B; E-2; E-3, Parts I through VI; H-4; J-3; and M-3 to add lines for the Pioneer Accountable Care Organization demonstration payment adjustment in accordance with section 3022 of the ACA, effective for discharges occurring on or after April 1, 2014.

HFS is currently programming the software changes for transmittal 7 and anticipates approval in the near future. Once approved, HFS will make the update available to users of the software.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

CMS Issues Draft Revisions to Hospital Cost Reporting Forms

February 27th, 2015 No comments

On Friday, February 6th, 2015, CMS issued a Federal Register notice releasing a draft of revisions to the hospital Cost Report. The new draft form revisions are being proposed to accommodate the statutory requirement for hospice payment reform and the statutory requirement establishing a prospective payment system for Federally Qualified Health Centers in the ACA.  These provisions are effective for cost reporting periods beginning on or after October 1, 2014.

The draft is available at the CMS website:

http://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing-Items/CMS-2552-10.html?DLPage=1&DLSort=1&DLSortDir=descending

HFS is currently reviewing the draft forms and anticipates that CMS will release final forms and instructions in the summer of 2015. Once final forms are available, HFS will update the software and make the new form set available to current users of the 2552-10 software.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

 

FY 2016 Updated Wage Index PUF Now Available

February 17th, 2015 No comments

CMS published a revised wage index Public Use File (PUF) on February 13, 2015. CMS indicated that the data had been desk reviewed and verified by the MACs before being published.

The updated PUF was published at:

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/FY-2016-Wage-Index-Home-Page.html

An HFS Wage Index Verification Tool is available from the software menu under “Tools|Wage Index Verification” to assist providers in identifying any errors.

Comma separated files of the PUF and a Quick Start Guide for use with the Wage index Verification Tool are available at http://www.hfssoft.com/iFrame/Support/iWageVerify.aspx.

If you have any questions please contact Eric Swanson at eric@hfssoft.com.

Categories: Cost Report News, Hospitals Tags:

CMS issues Transmittal 8 to the Provider Cost Reporting Forms and Instructions, Chapter 11, Form CMS-339

January 28th, 2015 No comments

On October 24thth, 2014, CMS issued Transmittal number 8 to the Provider Cost Reporting Forms and Instructions, Chapter 11, Form CMS-339. Transmittal 8 is effective for cost reporting periods ending on or after September 30, 2014.

The transmittal is available at the CMS website:

http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2014-Transmittals-Items/R8P211.html?DLPage=1&DLFilter=339&DLSort=1&DLSortDir=ascending

Form CMS 339 is ONLY to be completed by Home Health Agencies, Community Mental Health Centers, Rural Health Clinics, Federally Qualified Health Centers, Hospices (With cost reporting periods beginning prior to October 1, 2014) and Organ Procurement Organizations (OPOs) submitting cost reports to the Medicare Administrative Contractor.

The Form CMS-339 was significantly streamlined to eliminate requirements and exhibits that were previously required for hospital providers. The 339 questions have been incorporated directly into the new Hospital, SNF, ESRD and Hospice cost reporting forms.

HFS has programmed the software changes for transmittal 8 and was approved by CMS on January 23, 2015, HFS will make the update available to users of the software in our February 6, 2015 software update.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

CMS Issues Draft FQHC Cost Reporting Forms

January 5th, 2015 No comments

On Friday, December 19thth, 2014, CMS issued a Federal Register notice releasing a draft of a new Cost Report for FQHC providers. The new draft form is CMS-224-14 and will be effective for cost reporting periods beginning on or after October 1, 2014. This effective date reflects the implementation date of the new FQHC PPS, required under the Affordable Care Act.

The draft is available at the CMS website:

http://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing-Items/CMS-224-14.html?DLPage=1&DLFilter=cost%20report&DLSort=1&DLSortDir=descending

Once implemented the previous RHC/FQHC Form CMS-222-92 will only be applicable for RHC providers.

HFS is currently reviewing the draft forms and anticipates that CMS will release final forms and instructions in the spring of 2015. Once final forms are available, HFS will update the software and make the new form set available to current FQHC users of the 222-92 software.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

CMS issues Transmittal 6 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10

September 24th, 2014 No comments

On Friday, September 19thth, 2014, CMS issued Transmittal number 6 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10. Transmittal 6 is effective for cost reporting periods ending on or after June 30, 2014.

The transmittal is available at the CMS website:

http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2014-Transmittals-Items/R6P240.html

Major Medicare provisions incorporated by Transmittal 6 include:

  • Medicaid managed care discharges will be reported on Worksheet S-3, line 2, column 14.
  • Changes were made to Worksheet S-2 and Worksheet D-4 eliminating the “other” organ transplant category from the Worksheets and      check box selections.
  • Worksheets S-2, D Part III, D Part IV and E-3 Part V,  were clarified to address new children’s and new cancer hospitals.  A new TEFRA provider will be reimbursed as “Other” in its first year prior to the establishment of a TARGET rate.
  • CMS modified the calculation of teaching physician costs on the Worksheet D-5 by adding Parts III and IV.  Parts III and  IV will replace the previous Worksheet D-5, Parts I and II and will apply  the RCE calculations to the teaching physician salaries, similar to the methodology used on Worksheet A-8-2.
  • Worksheet E, Part A and the Exhibit 4 instructions were modified to address the extension of the MDH designation and Low Volume Adjustment, through March 31, 2015.
  • Line 41.01 was added to Worksheet E, Part A, to report ESRD Medicare covered and paid discharges.  While line 41 (ESRD Medicare Discharges) will be retained and used to compute the 10%      qualifying criteria for the ESDR additional payment, line 41.01 will be used to compute the actual adjustment amount.

HFS is currently programming the software changes for transmittal 6 and anticipates approval in the near future. Once approved, HFS will make the update available to users of the software.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

CMS issues Transmittal 1, Introducing the Provider Cost Reporting Forms and Instructions, Chapter 43, Form CMS-1984-14

August 29th, 2014 No comments

On Friday, August 22nd , 2014, CMS issued Transmittal number 1 to the Provider Cost Reporting Forms and Instructions, Chapter 43, Form CMS-1984-14. Form CMS-1984-14 is the new Hospice Cost Report for free-standing Hospice providers effective for cost reporting periods beginning on or after October 1, 2014.

The transmittal is available at the CMS website:

http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2014-Transmittals-Items/R1P243.html?DLPage=2&DLSort=1&DLSortDir=descending

HFS has completed the programming of the new form set and has submitted a test case to CMS for approval.  We anticipate approval in the near future. Once approved, HFS will make the new form set available to users of the Hospice Form CMS-1984 software.

Major changes from the previous 1984-99 and the new 1984-14 include:

  • Date previously reported on the Provider Cost Report Reimbursement Questionnaire, Form CMS-339, has been incorporated into a Worksheet S-2.
  • The Worksheet A and B series will now require the separate identification and reporting of patient care service costs by level of care (Continuous Home Care, Routine Home Care, Inpatient Respite Care and General Inpatient)

HFS anticipates scheduling WebEx sessions on the new form sets and software once approved and ready for distribution.  Information regarding the sessions will be distributed to all hospice software users when available.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

Final FY 2015 Wage Index PUF Now Available

August 5th, 2014 No comments

CMS published the final wage index Public Use File (PUF) reflecting the Final Rule for the FY 2015 IPPS update on July 31, 2014 at:

 http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/Wage-Index-Files-Items/FY-2015-Wage-Index-Home-Page.html

The July 2014 public use file FY 2015 reflects the final rule wage index data.  The effective date of the FY 2015 wage index is October 1, 2014.

An HFS Wage Index Verification Tool is available from the software menu under “Tools|Wage Index Verification” to assist providers in identifying any errors.

Comma separated files of the PUF and a Quick Start Guide for use with the Wage index Verification Tool are available at http://www.hfssoft.com/iFrame/Support/iWageVerify.aspx.

If you have any questions please contact Eric Swanson at eric@hfssoft.com.

CMS issues Transmittal 3 to the Provider Cost Reporting Forms and Instructions, Chapter 42, Form CMS-265-11

July 2nd, 2014 No comments

The ESRD, 265-11 system was updated to Transmittal 3 by CMS, in May 2014. Transmittal 3 is effective for cost reporting periods ending on or after March 31, 2014. HFS was approved for Transmittal 3 on June 24, 2014 and the software will be released July 2, 2014.

Transmittal 3 changes include:

  • Instructional change on Worksheet A-2, indicating that lines 19 and 20 are not to be completed for purchases on or after January 1, 2012.
  • Instructional change for Worksheet B and B-1, clarifying that negative amounts are excluded when allocating A&G and Other Cost.
  • Instructional change to Worksheet E, Part I, line 19 indicating that the sequestration adjustment is not to be computed where negative net reimbursement is reported on line 16.
  • Minor description changes on the following forms:
    • S, Part II
    • S, Part III
    • S-1, line 13.01
    • A-2, lines 19 and 20
    • Worksheet B. Column 1
    • Worksheet B-1, Column 1, 8A, 11A, 13A
    • Worksheet E, Part I, lines 2.01, 2.02, 12, 16
    • Worksheet E-1 note
    • Worksheet F, column 1 description and lines 48 and 49
    • Worksheet F-1, column headings and line 4
    • Description changes for edits: 1060,1005S, 1010S, 1020S, 1000A,
    • New Level One edits: 1022S, 1005A, 1000C, 1010C, 1010D, 1010E

For more information:

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.

Categories: Cost Report News Tags:

CMS issues Transmittal 5 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10

March 28th, 2014 2 comments

On Friday, March 28th, 2014, CMS issued Transmittal number 5 to the Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10.  Transmittal 5 is effective for cost reporting periods overlapping or beginning on or after October 1, 2013.

Major Medicare provisions incorporated by Transmittal 5 include:

  • Implementation of Implement of 75% reduction to traditional DSH payments and calculation of Uncompensated Care Payments, in accordance with Section 333 of the Affordable Care Act.
  • Incorporation of Model 4 bundled payments for care improvement (BPCI) initiative paid outside of the bundled payment in accordance with ACA 2010, Section 3023.
  • Update of the low income patient (LIP) adjustment factor and update of the teaching adjustment factor.
  • Inclusion of Medicare labor and delivery days in the calculation of the Medicare patient load ratio used to apportion direct graduate medical education payments in accordance with the Federal Fiscal Year (FFY) 2014 IPPS final rule.

Transmittal 5 also includes two minor clarifications with retroactive application:

  • Clarification to instructions for lines 71 and 72, medical supplies charged to patients and implantable devices charged to patients, respectively.
  • Addition of  line 39.98 to reflect partial or full credits received from manufacturers for replaced devices

HFS has summited a test case for transmittal 5 to CMS and anticipates approval in the near future.  Once approved, HFS will make the update available to users of the software.

In addition, HFS will be hosting two WebEx sessions on the Transmittal 5 changes.  Both WebEx sessions will be held at 11:00 PST on April 1st and 3rd 2014.  Information regarding the sessions will be distributed to all hospital software users.

If you have any questions, please contact Eric Swanson at eric@hfssoft.com.