Cost Report Basics
This type of clinic is cost-based (up to a cap) and includes physician costs in reimbursement.
What is a Rural Health Clinic (RHC)?
This federal program provides health coverage for low-income individuals and families.
What is Medicaid?
This type of clinic operates under the same license, medical staff, and quality monitoring system as the hospital.
What is a provider-based clinic?
Policies and procedures designed to protect assets, manage risk, and ensure accurate financial records and reporting.
What are internal controls?
CEO of a hospital in the state that produces the most wheat in the US.
Who is Trice Watts from Greeley County Hospital?
This adjustment removes non-allowable costs such as lobbying or patient entertainment from the cost report.
What is an A-8 adjustment?
This act adds $3 trillion to the national debt over 10 years, with Medicaid cuts and added grant monies.
What is the One Big Beautiful Bill Act (BBBA)?
To qualify as an RHC, a clinic must be located in a rural area and one of these federally recognized shortage designations.
What is an HPSA (Health Professional Shortage Area) or MUA (Medically Underserved Area)?
A way to estimate the cost report settlement mid-year.
What is an interim cost report, ‘mini’ MCR model, or ‘estimator’ spreadsheet?
Recently moved from a hospital on the WA/ID border in the southeast, to a hospital on the WA/ID border in the northeast.
Who is Justin Peters?
This type of swing bed day is not reimbursed by Medicare and must be carved out of cost reporting.
What is a non-skilled swing bed day?
Starting in 2026, Medicaid expansion adults must prove this many hours of work or community engagement per month to maintain eligibility.
What is 80 hours?
Changes in overhead allocation methods must be approved this many days before the hospital’s fiscal year-end.
What is 90 days?
This GASB requires organizations to recognize a liability for compensated absences if certain conditions are met.
What is GASB 101
Needs to update their place of employment on LinkedIn.
Who is Steve Febus or David Rollins?
This financial tool must be approved by the board and designated in provider records to avoid interest income offset.
What is a funded depreciation account?
Starting January 1, 2027, states must regularly obtain this information for each SSN to prevent duplicate Medicaid enrollment.
What are addresses?
Unlike provider-based clinics, free-standing clinics are not eligible to participate in this federal drug discount program.
What is the 340B program?
Threshold changing to $1,000,000 effective for years beginning after Oct 1, 2024.
What is the single audit threshold?
Played collegiate soccer at BYU.
Who is Ryan Wilson from North Canyon Medical Center?
This type of rate is based on prior year’s Medicare-specific data and used for temporary reimbursement.
What is an interim rate?
This group, previously allowed, is now newly disallowed from Medicaid under the latest law.
Who are refugees?
An RHC must have this type of practitioner on staff at least 50% of the time the clinic operates.
What is an advanced practitioner (NP, PA, or CNM)?
Opportunity, Motivation, and Rationalization make up this triangle.
What is the Fraud Triangle?
This general ledger software is used by the most hospital’s represented in this room.
What is Multiview?