General RHC Cost Reporting Tips

Collect as much data as possible on an ongoing basis.
Please package the diskette containing your cost report ECR and PI files carefully to prevent damage. Any cost report submissions with unreadable diskettes will be rejected.
Set up accounting procedures to collect as much financial data in the form and level of detail required for year end reporting. Use the cost report forms for reference.
Determine early if the clinic will need to collect special data for the cost report.(i.e. related party expense)
Check the cost report for mathematical accuracy.
Be consistent from year to year.
Complete the entire cost report.
Use the PS&R report provided by the intermediary to report Medicare visits, deductibles and payments.
Use correct and current forms.
Send adequa te documentation to support information on the cost report.
- Injection logs
- Bad debt logs
- Working Trial Balance
- CMS 339 Questionnaire
- Workpapers to explain reclasses on W/S A-1 and adjustments on W/S A-2
Review the cost report for reasonableness. (i.e. $300 cost per pneumococcal injection is not reasonable)
Contact the technician assigned to your state if you have any questions

See CMS’ website at http://www.cms.hhs.gov/center/rural.asp for more information related to cost reporting guidelines

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