Cost Report Basics
Must be offset to the extent of interest expense.
What is interest revenue?
Must be in a rural area and a designated health professional shortage area.
What is a rural health clinic?
Laundry, Housekeeping, Medical Records, Social Services, and Maintenance are all examples of what?
What are possible time studies? or What are general service cost centers?
1% of payments for April-June 2022. 2% thereafter.
What is sequestration.
A visit with a provider or therapist from your own home.
What is telehealth?
A good strategy is to put traveling nurses in this department.
What is acute care or med/surg?
No productivity standard, no mid-level requirements, eligible as a 340b child site.
What is a provider-based clinic?
Necessary to adjust receivables to their net realizable value.
What is the allowance?
Cost reports will be rejected if this is not in the proper format and the totals do not correspond to the amount claimed.
What is the Medicare bad debt log?
The new work mullet.
What is business on the top, party pants on the bottom? (or pj's or sweats)
Physician services, non provider-based locations, sponsorship expenses, cable tv expenses.
What are expenses removed from the Medicare cost report?
The government paid for the cost of these vaccines up front, but RHCs can be paid for the staff time through the Medicare cost report.
What are COVID-19 vaccines administered in the RHC?
The number of days before year end that a request must be submitted to change an allocation statistic.
What is 90 days?
$300/day for hospitals with fewer than 30 beds. $10/day x # of beds for hospitals with 31-550 beds.
What is the price transparency penalty?
Stock price was $36/share when they went public in April 2019. Thanks to the pandemic shares are now trading around $109/share.
What is Zoom?
A Medicare beneficiary or a MA beneficiary in a swing bed is counted as this type of day on the cost report.
What is a skilled swing bed day? (all other days are non-skilled)
This clinic type receives the lowest Medicare reimbursement and is not eligible as a 340b child site.
What is a free-standing clinic?
Defined by FASB as “90% certainty, considering all economic factors”.
What is reasonably certain?
151 days past PHE.
What is the added time some of the blanketed waivers are in effect after the end of the PHE?
Helps with employee burn out, work/life balance, retention, productivity.
What is working from home or remote work?
= (direct cost + allocated cost) / face-to-face encounters
What is the base calculation for the RHC cost per encounter?
2020 RHC cost / RHC visits or minimum visits.
What is the RHC cap equation?
SBITA
What is the acronym for “subscription-based information technology arrangements”?
105% of PPS APCs plus an average monthly CAH amount.
What is the payment for Rural Emergency Hospital (REH)?
Based on a 2022 survey, remote employees save on average 40 minutes a day on this.
What is commuting?