Services
Everything it takes to get an acceptable Medicare cost report to your MAC, and to support it afterward.
Cost report preparation & e-filing
Full, low-utilization, and no-utilization reports on the correct CMS form for your provider type. We prepare the electronic cost report file and supporting documents and help your team submit through MCReF, which delivers the package to your MAC to start its 30-day acceptance review.
PS&R reconciliation
We reconcile your Provider Statistical and Reimbursement (PS&R) report to your own records and document the crosswalk and adjustments CMS asks for on Worksheet S-2, such as claims billed but not yet on the PS&R.
MAC desk review & audit support
After filing, we help you answer MAC requests, explain proposed adjustments, and review the Notice of Program Reimbursement. For disputes of $10,000 or more, appeals to the Provider Reimbursement Review Board must be received within 180 days of the determination.
Amended cost reports
When information changes after filing, CMS may permit or require an amended report. We prepare the amendment and the explanation your MAC will need.
Bookkeeping clean-up for cost reporting
Cost reports must be built from accrual-basis records that tie to your financial statements. We help organize the general ledger, classify expenses to cost centers, and gather statistics before year-end.
Filing access guidance
MCReF and PS&R access run through CMS’s Identity Management (IDM) system. We walk your security official through setting up the right roles.
What stays with your agency
Federal rules require the provider’s administrator or chief financial officer to sign the cost report certification. An electronic signature is allowed for periods ending on or after December 31, 2017. We give you a clear review package before you sign.
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.