tci Medicare Compliance & Reimbursement - 2003 Issue 30

PROGRAM MEMO ROUNDUP

Nursing homes and home health agencies, take note: Fiscal intermediaries will no longer be performing tentative settlements on cost reports that have no impact on reimbursement. In a July 25 program memorandum (A-03-061; http://cms.hhs.gov/manuals/pm_trans/A03061.pdf), the Centers for Medicare & Medicaid Services tells FIs not to do tentative settlements on HHA or skilled nursing facility cost reports if the provider didn't receive periodic interim payments or other interim payments, and if the cost report doesn't include claims for reimbursement outside the prospective payments system. In other recent program memoranda, CMS: clarifies - for the third time -...

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