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Medicare program; uniform electronic cost reporting system for hospitals--HCFA. Final rule
Abstract:
This final rule responds to comments on the May 25, 1994, final rule with comment period that implemented a standardized electronic cost reporting system for all hospitals under the Medicare program. In that rule, we solicited comments on the requirement that cost reporting software be able to detect changes made to the electronic file after the provider has submitted it to the fiscal intermediary. This final rule responds to comments on that requirement and clarifies that although changes to the "as-filed" electronic cost report are prohibited, an intermediary makes a working copy of the as-filed electronic cost report for use in the settlement process.
Insights
Medicare electronic cost reporting rules are clarified. Changes to the "as-filed" hospital cost report are prohibited, but intermediaries use working copies for settlement.
Area of Science:
- Healthcare Administration
- Health Informatics
- Regulatory Compliance
Background:
- A standardized electronic cost reporting system was implemented for Medicare hospitals.
- Comments were solicited on detecting post-submission changes to electronic cost reports.
Purpose of the Study:
- To respond to public comments regarding the electronic cost reporting system.
- To clarify rules on modifications to submitted electronic hospital cost reports.
Main Methods:
- Review of public comments on the May 25, 1994, final rule.
- Issuance of a final rule to address comments and provide clarifications.
Main Results:
- The requirement for cost reporting software to detect post-submission changes was addressed.
- Clarification that while "as-filed" reports cannot be altered, intermediaries create working copies.
Conclusions:
- The final rule clarifies the handling of electronic hospital cost reports post-submission.
- Ensures integrity of "as-filed" data while facilitating the Medicare settlement process.