This Insight is part of PYA’s Medicare Cost Report Primers, a PYA thought leadership series that offers guidance through challenges related to the Medicare cost report process.
With cost report periods beginning on October 1, 2022, a new Home Office/Chain Organization cost report (CMS-287-22) is required to be filed for Medicare-certified Home Offices (HO) or Chain Organizations (CO). For this new requirement, a Medicare-certified HO or CO has been issued a unique Centers for Medicare & Medicaid Services (CMS) certification number (CCN). See the second installment in the Medicare Cost Report Primers series for more information on HO and CO.
A notable improvement in the revised HO/CO cost report process is the ability to electronically sign the report and submit it through CMS’s Medicare Cost Report Electronic Filing portal (MCReF). Previously, the signature page of the HO/CO cost report required a manual signature, and the report was then mailed to the Medicare Administrative Contractor (MAC), along with supporting documentation on a CD or flash drive.
In addition to the new electronic filing and uploading features, many of the schedules in the HO/CO cost report have been renamed and updated for consistency with other provider cost reports. The chart below summarizes several key changes between the old and new forms within the CMS-287-05 and CMS-287-22 reports.
Key Areas of Change on New CMS-287-22 Forms |
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| (Old) Form CMS-287-05 |
(New) Form CMS-287-22 |
Changes |
| Schedule A, Part I & II |
Schedule S, Parts I & II |
Part I includes a Cost Statement Status. Part II added the electronic signature statement. |
| Schedule B | Schedule A | Schedule A is designated for trial balance expenses grouped to specific cost centers. Many cost centers are the same as the old form but re-numbered. |
| Schedule B-1 | Schedule A-6 | Schedule A-6 is designated for any cost report reclassification of expenses. |
| Schedule C | Schedule A-8 | Schedule A-8 is designated for any cost report adjustment to expenses. |
| Schedule D | Schedule A-8-1 | Schedule A-8-1 is designated for adjustments required as a result of transactions with a related organization/home office/chain organization. |
| Schedule E, E-1 | Schedule B, B-1 | Schedule B and B-1 are designated for allocation of DIRECT capital and non-capital expenses based on specific allocation statistics. |
| Schedule F, Parts I & II |
Schedule C, C-1 | Schedule C and C-1 are designated for allocation of FUNCTIONAL CAPITAL expenses based on specific allocation statistics. |
| Schedule F-1, Parts I & II |
Schedule D, D-1 | Schedule D and D-1 are designated for allocation of FUNCTIONAL NON-CAPITAL expenses based on specific allocation statistics. |
| Schedule G, Part I |
Schedule E | Schedule E is designated for the allocation of POOLED costs for the double allocation method. |
| Schedule G, Part II |
Schedule E-1 | Schedule E-1 is designated for the allocation of POOLED expenses. |
| Schedule J | Schedule G | Schedule G is for the balance sheet. |
| Schedule I | Schedule G-1 | Schedule G-1 is for the statement of revenue and expenses. |
If your organization needs assistance with the new HO/CO cost report (CMS-287-22) or other reimbursement matters, contact PYA’s reimbursement professionals via email or by calling (800) 270-9629.
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