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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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| Help Me Prepare My Cost Report | Call Us Now 800-447-2540 | I Want to Purchase Cost Report Software | ||
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 1728-94 (Home Health Agency): | ||||
| Form 1728-20 (Home Health Agency): | ||||
| Form 2540-10 (Skilled Nursing Facility): | ||||
| Form 1984-14 (Hospice): | ||||
| Form 222-92 (RHC): | ||||
| Form 287-05 (Home Office): | ||||
| Form 2552-96 (Hospital): | ||||
| Form 224-14 (FQHC): | ||||
| Form 265-11 (ESRD): | ||||
