Note: Cost Reports May Only Be Submitted on CMS-Approved Software Forms Included with CMS Instructions are for Informational Purposes Only |
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All cost report worksheets are included in the forms. Worksheets include all cost centers. General Instructions explain rules and mandatory information. Further Rules and Regulations explain rules for reimbursement. | ||||
Form 1728-20 (Home Health Agency): | ||||
Form 2540-10 (Skilled Nursing Facility): | ||||
Form 1984-14 (Hospice): | ||||
Form 222-17 (RHC): | ||||
Form 287-22 (Home Office): | ||||
Form 2552-10 (Hospital): | ||||
Form 224-14 (FQHC): | ||||
Form 265-11 (ESRD): |