On December 29, 2022, CMS issued Transmittal 18 of the hospital cost report Form 2552-10. The following highlights from the Transmittal are effective for cost reporting periods beginning on or after October 1, 2022.
- If a provider seeks reimbursement for Medicare bad debts, new Exhibit 2A — Listing of Medicare Bad Debts must be submitted with the cost report.
- If the provider is an IPPS hospital eligible for Medicare DSH payments, the following new Exhibits must be submitted with the cost report:
- Exhibit 3A — Listing of Medicaid Eligible Days for a DSH Eligible Hospital
- Exhibit 3B — Charity Care Listing
- Exhibit 3C — Listing of Total Bad Debts
- In addition to reporting uncompensated care on Worksheet S-10 for the entire hospital complex as done in previous years, providers will also report data for only inpatient and outpatient services billed under the hospital CCN.
- Lines have been added to identify the following:
- IPPS hospitals participating in the CHART model beginning in 2024
- permanent adjustments to TEFRA target amounts
- providers purchasing greater than 50% of total professional services (e.g., legal and management/consulting services) from an unrelated organization located outside of the main hospital’s local area labor market
- the number of temporary expansion COVID-19 public health emergency (PHE) acute care beds
- costs related to CAR T-cell for immunotherapy infusion, Medicare-enrolled opioid treatment programs, and allogeneic HSCT acquisition
- IPF and IRF hold harmless teaching adjustments during the PHE
- Modified the method of calculating direct GME payments to a teaching hospital when the hospital’s weighted FTE counts exceed their direct GME FTE cap
- Implemented IME and GME changes included in Sections 126, 127 and 131 of the Consolidated Appropriations Act, 2021
(See attached file: Required Patient Detail Templates Eff 10-1-22.xlsx)
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