Audit and Reimbursement - JF Part A
Audit and Reimbursement
Audit - View Bad Debt, Wage Index, Diagnosis Related Group (DRG), Resource Utilization Group (RUG), Method Billing, and other financial related topics information
Audit & Reimbursement Forms - View Audit and Reimbursement related forms
Cost Reports - View timelines, submission requirements, mailing and contact information, requests for copies, and Provider Statistical and Reimbursement (PS&R) system information
Cost Report Rates - View information regarding Interim Rate Review, Periodic Interim Payments (PIP), and Prospective Payment System Rates
Cost Report Reopening Request - View information regarding the Cost Report reopening request process
Email Submission Guidelines for Audit and Reimbursement Requests - This page explains the required email formats and submission guidelines providers must follow when sending requests to the Audit and Reimbursement team to ensure timely and accurate processing.
PRRB and Hearing - View Provider Reimbursement Review Board (PRRB) process and Intermediary appeal hearing contact information
Provider Statistical & Reimbursement (PS&R) System - The PS&R system is a CMS system that accumulates and reports Medicare Part A claims data into categories needed for Medicare cost reporting
Rebate Summary Letters - View information regarding rebate summary letters sent to providers to explain B2 and provider submitted check refunds found on Remittance Advices
Wage Index - Access Hospital Wage Index Development Time Table, Pension Plan Costs and workshop, and Wage Index Prefunding Worksheet
Worksheet S-10 Audits - View information for Providers who receive compensation through DSH/Compensated Care
