In 1965, the Health Care Financing Administration (HCFA) and the Office of the Inspector General (OIG) established an annual reporting mechanism for Hospitals, SNF's, HHA's, and other health care providers known as the Cost Report.  This reporting mechanism was developed for controlling and reporting services given to Medicare beneficiaries by authorized Medicare providers on a cost basis.  According to the regulation, the elements of Federal and State blended cost factors provide a reasonable cost reimbursement to the providers.  The program also takes into consideration other elements in calculating the total reimbursement amount: Capital Related Cost, Related Organizations, Medical Education Programs, DSH, CRNA, DPU, Home Office Cost Reports, and Bad Debt.  Elements of these guidelines can be used by all Medicare providers, regardless of size, to calculate the program reimbursement amount.  The regulatory elements of the program, however, are not intended to be all-inclusive, and should be used as the foundation for a more complete and accurate Cost Report preparation.

Preparation of Cost Reports   Re-Opening and Appeals   PS&R Management and Evaluation   Home Office Cost Report   Square Footage Studies   Disproportionate Share Management and Evaluation   Implementation and Evaluation of HCFA Regulatory Changes

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