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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 Reopening Request - View information regarding the Cost Report reopening request process

Interim Rate Review - View Year-End Interim Rate review information, timelines per provider's fiscal year end, provider types, and the Tentative Settlement (TS) review

Periodic Interim Payments (PIP) - View information in regards to providers who receive bi-weekly Medicare Periodic Interim Payments (PIP)

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



Last Updated Nov 21 , 2023