Cost Report Worksheets
Shar's PPS Tidbits
CAH Hot Topics
CAH Top 10 including Desk Reviews!
Who or Where
100

The denominator in the acute care per diem calculation.

What are patient days?

100

When the log and the amount reported on the cost report don’t match the cost report will be rejected.

What is Medicare bad debt?

100

Because Medicare pays cost it is better for reimbursement to put a nursing home patient in this type of hospital bed.

What is a swing bed?

100

Management tool use to make operational decisions.

What is the Cost Based Reimbursement by Department worksheet?

100

This hospital shares a name with the famous comic strip character known for his love of lasagna, sleeping, and hatred of Mondays.

Who is Garfield County Hospital?

200

Where provider based physician expenses are removed from cost.

What is Worksheet A-8-2?

200

For PPS hospital’s DSH calculation having the total of these low and the Medicaid of these high will improve your payment.

What are patient days?

200

This method of tracking ER provider’s time results in the lowest number of hours spent with patients, which is most beneficial for reimbursement.

What is actual time?

200

Affects settlements by 100% of that amount.

What are lump sum adjustments?

200

The attendee who has been to all 11 DZA conferences.

Who is Jyl Ruland?

(Don't forget Jeannette, Joe, Kami, Luke, Rikki, Shar, Shaun, and Tom!)


300

The series of worksheets whose purpose is to take expenses, apply some reclassifications to match expenses to how Medicare was billed, and remove non-allowable expenses.

What is the A series?

300

For PPS hospitals this survey is prepared every three years and affects the wage index for three years.

What is the Occupational Mix Survey?

300

Qualifies for cost based reimbursement if it’s the only one within 35 miles.

What is ambulance service?

300

During a hospital’s desk review if 35% of the sample is incorrect all will be disallowed.

What is bad debt?

300

Former DZA employee now works for Kootenai Health.

Who is Skyler Twidt?

400

Worksheet B-1 starts with departments rendering the most and receiving the least. The approach allocates overhead down until the revenue producing departments include their fully weighted costs.

What is the stepdown approach?

400

Beginning in FFY2019 hospitals are eligible for this add on payment if they had fewer than 3,800 discharges on their last filed cost report and are further than 15 miles from the nearest PPS hospital.

What is the low volume payment?

400

Manufacturers agree to provide front end discounts on covered outpatient drug purchases, CAHs qualify as of 2010 per the Affordable Care Act.

What is the 340b program?

400

These are updated by the MAC during tentative settlement time and again about 8 months into the year.

What are interim rates?

400

Has attended this conference as an employee of Weiser Valley Hospital District, Valor Health, and St. Peter’s Health.

Who is Nate Colburn?

500

Where the hospital’s financial statements are reported to Medicare.

What is the G series?

500

One benefit of this type of clinic is that it is eligible as a 340b child site.

What is a benefit of being a Provider-Based Clinic?

500

The reporting of these on Worksheet S-10 of these changed in 2016 from the total charges or deductible/coinsurance to the amount written off.

What is charity care?

500

Not having one of these registered with CMS is NOT an acceptable reason for filing your cost report late.

What is a Security Officer?

500

If traveling by car this person traveled the furthest to attend the conference.

Who is Janette Bender from Arkansas Valley?