Cost Report Due Dates

Home Provider Part A Medicare Areas Audit and Reimbursement

In accordance with timelines defined in 42 CFR 413.24(f)(2) and CMS Pub.15-2, chapter 100, section 104, all providers are required to submit a cost report within 5 months of the cost reporting fiscal year end or 30 days after the cost report notification letter is sent, whichever is later. If the provider fails to submit a cost report timely or if the cost report is rejected, the Fiscal Intermediary (FI) is required to stop all payments to the provider immediately and prepare a demand letter for all previous payments. The FI will issue a demand letter as soon as possible but no later than 30 days after the due date of the cost report.

WPS, Medicare Audit & Reimbursement does not mail the cost report forms, cost report instructions or the CMS Form 339 Questionnaire. If you need any of this information, please contact us at 1-866-734-9444 and ask for the Reimbursement Support Supervisor. For a listing of contacts, please refer to our Contacts page.

In accordance with CMS Pub 15-I, Section 2409.1, the Provider must submit a full refund with the as-submitted cost report when the Provider files a cost report indicating that an overpayment has occurred. It should be noted that interest will be assessed from the day after the cost report is due if a full refund for the stated overpayment is not included with the as-submitted cost report.

The cost report is considered timely as long as it is postmarked or was received by the carrier (i.e., delivery service company) no later than the due date of the cost report, and the FI determines that all required documentation was included. WPS, Medicare Audit & Reimbursement will accept hand delivered cost reports. It must be noted on the cost report that it was hand delivered and include the date it was hand delivered.

Page Last Updated: Thursday, 18-Mar-2010 05:48:17 CDT