In accordance with the Paperwork Reduction Act (PRA) of 1995, the Centers for Medicare & Medicaid Services (CMS) published a notice in the Federal Register dated June 22, 2022 regarding a proposed revision to the Hospital and Health Care Complex Cost Report (proposed Form CMS-2552-10). Links to the Federal Register notice and PRA posting are below and comments must be received by July 22, 2022. Instructions for providing comments are included in the Federal Register notice and a summary of the proposed changes is contained in the Supporting Statement contained within the PRA notice.
Federal Register Notice
Published PRA Notice
CMS published a preliminary Public Use File (PUF) for the FY 2024 wage Index May 23, 2022. This file reflects the Worksheet S-3, Parts II and III wage data from cost reports for Fiscal Year (FY) 2020 (FY Beginning from 10/1/19 to 9/30/2020).
The following file has been created and can be downloaded and used with the Wage Index Verification Tool for the Federal Fiscal Year 2024, Preliminary PUF:
FY_2024_Prelim_S3 wage tab_20220523.csv
CMS has released the final FY 2023 wage index and occupational mix data PUFs on CMS Web page. Hospitals will have approximately 1 month to verify their data and submit correction requests to both CMS and their MAC to correct errors due to CMS or MAC mishandling of the final wage and occupational mix data.
https://www.hfssoft.com/doc/FY23_April_PUF.20220429.S-3 Data PUF.csv
CMS published a Public Use File (PUF) for the FY 2023 wage Index January 28, 2022. This file reflects the Worksheet S-3, Parts II and III wage data from cost reports for Fiscal Year (FY) 2019 (FY Beginning from 10/1/18 to 9/30/2019).
The following file has been created and can be downloaded and used with the Wage Index Verification Tool for the Federal Fiscal Year 2023, PUF. Note, February 15, 2022 is the deadline for hospitals to submit requests (including supporting documentation) for: 1) corrections to errors in the January PUFs due to CMS or MAC mishandling of the wage index data, or 2) revisions of desk review adjustments to their wage index data as included in the January PUFs (and to provide documentation to support the request). MACs must receive the requests and supporting documentation by this date.
FY23_Jan_PUF.20220128.S-3 Data PUF.csv
CMS issued CR12407 on October 21, 2021 to update the N&AH MA payment rates for 2019 which changed the E-4 reduction amount to 4.07%. The full Change Request is available at: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Transmittals/r11041otn
CMS released a revised final FY 2022 wage index and occupational mix data PUFs on the CMS Web page, August 3, 2021. This file reflects provider correction requests due to CMS or MAC mishandling of the final wage and occupational mix data.
The following file has been created and can be downloaded and used with the Wage Index Verification Tool for the final Federal Fiscal Year 2018 wage index data.
FY_2022_Final_S3_PUF.csv
CMS published a preliminary Public Use File (PUF) for the FY 2023 wage Index May 24, 2021. This file reflects the Worksheet S-3, Parts II and III wage data from cost reports for Fiscal Year (FY) 2019 (FY Beginning from 10/1/18 to 9/30/2019).
The following file has been created and can be downloaded and used with the Wage Index Verification Tool for the Federal Fiscal Year 2023, Preliminary PUF:
FY_2023_Prelim_S3 wage tab_05182020.csv
CMS published a Public Use File (PUF) for the FY 2022 wage Index January 29, 2021. This file reflects the Worksheet S-3, Parts II and III wage data from cost reports for Fiscal Year (FY) 2018 (FY Beginning from 10/1/17 to 9/30/2018).
The following file has been created and can be downloaded and used with the Wage Index Verification Tool for the Federal Fiscal Year 2022, PUF. Note, February 16, 2021 is the deadline for hospitals to submit requests (including supporting documentation) for: 1) corrections to errors in the January PUFs due to CMS or MAC mishandling of the wage index data, or 2) revisions of desk review adjustments to their wage index data as included in the January PUFs (and to provide documentation to support the request). MACs must receive the requests and supporting documentation by this date.
https://www.hfssoft.com/doc/FY_2022_January_29_2021_S3_Data_PUF.csv
We have been informed that CMS updated their COVID-19 Frequently Asked Questions (FAQs) on 1/7/2021 and revised the Cost Reporting Question #1 (on page 105) to grant providers and additional 60 day filing extension “For any cost reporting period not previously identified and ending on a date falling in the period of March 1, 2020 through December 31, 2020”.
| Cost Reporting Period Ending |
Initial Due Date |
Extended Due Date |
Revised Due Date |
| 10/31/2019 |
03/31/2020 |
06/30/2020 |
|
| 11/30/2019 |
04/30/2020 |
06/30/2020 |
|
| 12/31/2019 |
05/31/2020 |
07/31/2020 |
08/31/2020 |
| 01/31/2020 |
06/30/2020 |
08/31/2020 |
|
| 02/29/2020 |
07/31/2020 |
09/30/2020 |
|
| For any cost reporting period not previously identified and ending on a date falling in the period of March 1, 2020 through December 31, 2020, providers are granted an additional 60 days from the initial due date to file their cost reports. |
The current full FAQ listing can be found at the below link:
https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf
In accordance with the Paperwork Reduction Act (PRA) of 1995, the Centers for Medicare & Medicaid Services (CMS) published a notice in the Federal Register dated November 10, 2020 regarding a proposed revision to the Hospital and Health Care Complex Cost Report (proposed Form CMS-2552-10 Transmittal 17). Links to the Federal Register notice and PRA posting are below and comments must be received by January 11, 2021. Instructions for providing comments are included in the Federal Register notice and significant proposed changes include:
- Update to Certification page to better incorporate the electronic signature into the official form.
- Added Worksheet S-12 to collect “Median Payer-Specific Negotiated Charge Data” effective for cost reporting periods ending on or after January 1, 2021
- Added Worksheet D-6 to reimburse for Allogeneic Hematopoietic Stem Cell and CAR T-Cell Therapy effective for cost reporting periods beginning on or after October 1, 2020.
- Added Worksheet E-5 for Outlier Reconciliation at Tentative Settlement for cost reporting periods beginning on or after October 1, 2020.
- Added Exhibit 2A – Replaces Exhibit 2 as of FYB 10/1/2020 with 25 columns and instructions for the information required to support the bad debt claimed in the cost report.
- Added Exhibit 3A – Providing a standard format for the listing of Medicaid Eligible Days for DSH Eligible Hospitals required to support the DSH eligible days reported that must be submitted with cost reports for periods beginning on or after October 1, 2020.
- Added an Exhibit 3B providing a standard format for the information required to support the charity care amounts claimed that must be submitted with cost reports for periods beginning on or after October 1, 2020.
- Added an Exhibit 3C providing a standard format for the information required to support the total bad debt expense claimed.
Federal Register Notice
Published PRA Form