Audit and Reimbursement - JE 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 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
Resources
- CMS HIPAA Information
- CMS Homepage
- CMS Internet Only Manuals (IOMs)
- CMS Manuals Page
- CMS Regulations and Guidance
- CMS The Provider Reimbursement Manual (PRM) I
- CMS The Provider Reimbursement Manual (PRM) II
- CMS Transmittals