Riverbend

Forms

Use the below link to refer to Flash 04-05B   for detailed information on cost report filing instructions. The cost report acceptability checklists, Sanction Certification Form, Provider Contact Memorandum to accompany the CMS Form 339 are all a part of the Flash. Should you have any questions about this Flash you may contact either of the following:

Cindy Hauke, Audit Manager in the TN office
 (423) 535-3805

Cost Report Submission

Quick Checklist for Cost Report Submission