42 C.F.R. §413.20 - Financial data and reports
| Cite as | 42 C.F.R. §413.20 |
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240 cases
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SWEDISH AMERICAN HOSPITAL v. Sebelius, Civil Action No.: 08-2046 (RMU).
...demonstrating the costs they incurred during the previous fiscal year and the portion of those costs to be allocated to Medicare. See 42 C.F.R. § 413.20. After receiving a provider's cost report, the fiscal intermediary may audit the report before determining the total amount of reimburseme......
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Health v. Sebelius, Civil Action No. 07-1614 (RBW).
...receive the reimbursements, eligible hospitals file cost reports with their fiscal intermediaries at the end of each fiscal year. See 42 C.F.R. § 413.20(b) (1999). 4 See generally Baystate, 414 F.3d at 8 (describing reimbursement process). After auditing the reports, the fiscal intermediari......
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Kaiser Found. Hospitals v. Sebelius, Civil Action No. 11–92 (JEB).
...to be reimbursed, hospitals must submit an annual cost report detailing the expenses they incurred during the past fiscal year. See 42 C.F.R. §§ 413.20, 413.24. The Secretary has contracted with fiscal intermediaries to audit cost reports, determine how much Medicare owes each provider, and......
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Mercy Gen. Hosp. v. Azar, Civil Action No. 16-99 (RBW)
...(2000). To receive reimbursement from Medicare, providers must submit to their intermediaries "cost reports ... on an annual basis." 42 C.F.R. § 413.20(b) (2017). The intermediaries then review these reports to determine the amount of reimbursement due to the providers. See 42 U.S.C. § 1395......
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3 firm's commentaries
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Fiscal Year 2022 IPPS Proposals Related to GME Payments
...rotation schedules, etc. to determine the point at which the requisite threshold of FTE residents are trained. As required under 42 C.F.R. §§ 413.20 and 413.24, hospitals must provide sufficient documentation to ensure proper payment (for GME this includes, but is not limited to, rotation s......
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D.C. Circuit Determines that Physical Possession of Medicare Records Not Required in Implied-Certification Claim Against the District of Columbia
...adequate supporting cost data available for audit when it presented its year-end cost report, in contravention of federal regulations (42 C.F.R. §§ 413.20, 413.24) that were incorporated into the District of Columbia’s Medicaid State Plan. In reversing the decision of the lower court, the D......
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Reminder to providers: CMS modified supporting documentation requirements for cost-reporting periods beginning on or after October 1, 2018
...Services (CMS) issued the FY 2019 Medicare IPPS final rule. Part of the rule modified the supporting documentation required under 42 CFR 413.20 to be submitted with provider cost reports. The new requirements are applicable for cost reports submitted for cost-reporting periods beginning on ......