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Medicare Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 36, Form CMS-2552-96 - Transmittal 17

This transmittal updates Chapter 36, Hospital and Hospital Health Care Complex Cost Report, (Form CMS 2552-96) to reflect further clarification to existing instructions, corrections, and incorporates select Federal Register provisions. The effective date for instructional changes will vary due to various implementation dates.
Significant Revisions:
•Worksheet A - Added line 85.20 to record the costs of islet cells transplanted (extracted from pancreases) in accordance with CR 5505 effective for discharges on or after 10/1/04. A non-standard cost center code of 8620 will identify this cost center.
•Worksheet E, Part A - Effective for discharges occurring on or after October 1, 2006, this worksheet incorporates revisions impacting Medicare dependent hospitals (MDHs).
•Worksheet E, Part A - Revised the outlier reconciliation section of the worksheet.
•Worksheet E-3, Part I - Added an outlier reconciliation section to this worksheet.
•K Series Worksheets - Added the following cost centers: line 10.20 - Nursing Care - Continuous Home Care; 18.20 - Home Health Aide and Homemaker - Continuous Home Care; 20.30 - Analgesics; 20.31 -
Sedatives/Hypnotics; and 20.32 - Other Specify.
•H Series Worksheets - Added a cost center to record the cost of administering influenza and pneumococcal vaccines effective for services rendered on or after July 1, 2006.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 01, 2007

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.