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Audit and Reimbursement

COVID-19: Pause for Request for Cost Reports Worksheet S-10 Audit Documentation, Medicare Desk Reviews, Audits and Reopenings Documentation

Due to the current Novel Coronavirus (COVID-19) Public Health Emergency (PHE), the Centers for Medicare & Medicaid (CMS) has provided instructions for CGS to suspend requests for documentation for the following Medicare Cost Report activities:

  • Cost Reports Worksheet S-10 (W/S S-10) audits for all cost reports that begin during Federal Fiscal Year (FY) 2018 for hospitals that qualify for Disproportionate Share Hospital (DSH) payment until May 15, 2020. If you have already received a request for documentation, the due date has been extended to May 15, 2020.
  • All Medicare Desk Reviews, Audits and Reopenings until May 15, 2020. CGS shall work on any in-house Desk Reviews, Audits and Reopenings based on the documentation that they have already received. If additional information is needed to complete the reviews, a request for such information will not be sent before May 16, 2020.

CMS wants to minimize the burden on RHCs who have experienced disruptions in staffing and services and have had difficulty in meeting productivity standards as a result of COVID-19 public health emergency. If you would like to request an exception to the productivity standards, please send your request to RHCException@cgsadmin.com. Please include your provider name, provider number, cost reporting period and an explanation for your request.

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Updated: 05.05.20

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