Medicare cost reports since 2008, filed right and on time.
We have been filing cost reports for Medicare home health and hospice since 2008. CostReport.net prepares and e-files Medicare cost reports for home health agencies and hospices. We reconcile to your books and your PS&R, submit through CMS’s MCReF system, and stay with you through MAC review.
What we handle
- Full, low-utilization, and no-utilization cost reports
- PS&R reconciliation and supporting crosswalks
- Electronic filing to your MAC through MCReF
- Desk review and audit questions after filing
- Amended reports and bookkeeping clean-up for cost reporting
Miss the deadline and Medicare payments stop.
Under federal rules, if a provider doesn’t file an acceptable cost report on time, Medicare payments are suspended immediately, in whole or in part, until an acceptable report is filed.
A report the MAC rejects is treated as if it had never been filed. Getting it right the first time matters as much as getting it in on time.
Deadlines & rules explained- Due five months after year-endReports are due by the last day of the fifth month after your fiscal year closes (150 days if your year ends mid-month). Extensions are granted only for extraordinary circumstances such as a flood or fire.
- Low volume still means filingEven an agency with no Medicare patients all year files a no-utilization statement. Low-utilization reports need MAC approval in advance.
- Your numbers have to tieThe report must reconcile to your financial statements and to the PS&R, with documentation for every adjustment.
- Reports become public dataFiled cost reports go into CMS’s HCRIS database, and CMS publishes the data files, so anyone can see them.
Built around your provider type
Each provider type has its own form, worksheets, and pitfalls. We start with home health and hospice.
Home Health Agencies
Medicare cost reports for freestanding home health agencies, from trial balance to MCReF.
Home Health cost reports →Hospices
Medicare cost reports for freestanding hospices, organized by level of care.
Hospice cost reports →A clear process from year-end to acceptance
Scope
We confirm your form, fiscal year end, MAC, and whether a full, low-, or no-utilization report applies.
Records
You send your trial balance, financials, PS&R, and statistics from the records list we send when we start.
Prepare & reconcile
We build the report, tie it to your books and PS&R, and walk you through the results.
Certify & e-file
Your administrator or CFO signs. The report goes to your MAC through MCReF.
Calendar-year agencies: plan now
For a December 31, 2026 year-end, the cost report is due May 31, 2027. June 30 year-ends are due November 30. Use the calculator to find yours, and build in time for review before the deadline.
Grounded in CMS instructions
We work from the current Medicare cost report instructions and rules, and we can explain why every number is where it is.
Documented for review
Every report is subject to MAC desk review or audit. We keep crosswalks and workpapers ready so questions get answered quickly.
Focused, not full-service
We don’t do payroll, taxes, or audits. We focus on Medicare cost reports for home health and hospice, and on the books behind them.
Get your next cost report on the calendar
Tell us your agency type, fiscal year end, and MAC. We’ll follow up to talk through scope, timing, and what we need from you.