Submission Requirements

  • Please do not send information on  flash drive, we are unable to accept information in this format
  • Facsimile Worksheet S and encryption code: Worksheet S (computer generated), must electronically print the date and time the electronic file was encrypted.
  • Worksheet Smust contain the penalty and certification statements attesting to the validity of the data submitted(Part I and Part II)
  • ECR filemust contain matching encryption coding to the left of the officer or administrator of the provider(s) signature block.
  • The signature block of the officer or administrator must contain an original signature.
  • A facsimile or stamped copy of the signature is unacceptable. (See PRM-II, Section 131, for similar requirements for the hospital cost report.)
  • Print image file: An electronic picture image of the entire cost report
  • Must be submitted with  the electronic cost report(ECR) file submission
  • Must be in ASCII format
  • If the PI file is too large for a diskette, a self-extracting compression program must be used.
  • Must contain its own encryption coding in the PI file and on Worksheet S
  • Order of Processing:
    ECR Creation
    Print Image creation
    Worksheet S

Page modified:July 30, 2007