HFS News & Information

On July 27, 2011 HFS received written confirmation from CMS that the deadlines to file on the new 2552-10 form set will be extended. The following is a summary of the details we received.

CMS issued a 30-day extension for 4/30/2011 FYE providers (Joint Signature Memo/Technical Direction Letter – 11204, 03-03-11).

All providers with full 12 months or greater cost reporting periods which begin on or after May 1, 2010 (and end on or after April 30, 2011) must file on the 2552-10 form set, subject to the following extension schedule. (We published this same schedule in our previous 2552-10 news post, and publish it again for your convenience. There were no changes.)

2552-10 Extended Cost Report Filing Dates

Short period cost reports:
– Providers with cost report periods beginning on or after May 1, 2010, but ending prior to April 30, 2011, must file and settle on 2552-96. These cost reports are due the latter of 30 days from the date of the forthcoming TDL or 5 months following the close of the cost reporting period. This includes hospitals with hospital based end stage renal disease (ESRD) facilities and/or departments.
– Hospital based ESRDs are subject to the same extension schedule as indicated above. Hospital based ESRDs should submit their cost reports using the current 2552-10, with the existing Worksheet I series. The Hospital based ESRDs claiming bad debts may not be settled until a revised 2552-10 Worksheet I series is published incorporating the new bad debt calculation.

by Chuck Briggs

Transmittal 21 is effective for FYE on or after 10/1/2009 (i.e. must use T.21 for FYE 10/1/2009 and after), except for the H1N1 Vaccine changes which are effective for services on or after 9/1/2009.

T.21 added three new ancillary cost centers, Cardiac Rehab, Hyperbaric Oxygen Therapy, and Lithotripsy. These will be available from our “pick list” of cost centers. W/S S-3 part I, line 26, columns 5.01, 5.02, 6.01, and 6.02, for Observation Bed Days, are N/A for FY Begin 10/1/2009 and after. No more “admitted” and not admitted split.

Total observation bed days will now be subtracted in the calculation of E part A, line 3 (bed days available). W/S E part A and L part I, line 4.01 or 5.01, are revised to INCLUDE in Total days, the Labor and Delivery Days from the NEW line 29 of S-3 part I. This is effective for FY Begin 10/1/2009 and after.

W/S S-2 line 21.01, column 2 was added for Pickle providers (“Y” indicates Pickle for operating DSH). If Pickle, then the allowable DSH percentage is automatically 35%, on E part A line 4.03.

W/S E-3 part I, lines 1.02, 1.04, 1.41, and 1.42 must be subscripted for column 1.01, if the FY overlaps 10/1/2009, as the LIP “factor” changed from 0.6229 to 0.4613. You only need to split payments on line 1.02 as we calculate the rest. W/S M-3 line 14 calculation is phasing out the “limit”, over 5 years. For services through 12/31/2009 the 62.5% limitation remains. For services 1/1/2010 to 12/31/2011, the limit is 68.75%. For services 1/1/2012 to 12/31/2012 the limit is 75%. For services 1/1/2013 to 12/31/2013 the limit is 81.25%. For services on or after 1/1/2014, the limit is zero, or 100% reimbursement.

W/S M-4 added columns 2.01 and 2.02 for the H1N1 vaccine. Medical Supply cost, Total injections, and Medicare injections must be split between Pneumococcal, Influenza, H1N1 Only, and Influenza and H1N1 combined.

For even more up-to-date news, visit Pete Harmon’s blog at http://www.hfssoft.com/blogs/pete/

HFS received CMS approval for T.20 on 9/17/2009.
See Pete Harmon’s blog for details…

On Friday, August 28, 2009 we sent additional HFS comments on the Draft 2552-10 to CMS. These additional comments were the result of having input numbers into the forms. These comments are available in PDF format: MORE HFS DRAFT 2552-10 COMMENTS

In general, we were disappointed that Title V and XIX are less accommodated in the 2552-10, instead of expanded, or left the same as in the 2552-96 (i.e. elimination of W/S C part II, which is still used by States; elimination of D-1 lines 66-82 in the 2552-96 for the per diem calculation, etc.). This will most likely result…

This spreadsheet contains a crosswalk comparison between the 2552-96 and 2552-10 form sets for worksheets A and S-2, including the new S-2 Part II.