Medicare and Medicaid Cost Reporting

Fulfilling an essential function

Despite the prevalence of PPS, Medicare/Medicaid cost reporting is still relevant to providers.

It impacts factors like market basket updates, Medicare adequacy analysis, and MedPAC findings. MCRs influence payment rates, cost limits, and payment adequacy. Moreover, accurate cost reports are far more than a compliance document. They are critical for fair reimbursement and ensuring the alignment between payment and provider costs.

Kraft offers deeply experienced leadership and support in the preparation of Medicare and Medicaid cost reports – to identify hazards, assure compliance, and make the most of reimbursement rates.

In fact, our deep understanding of cost reports was vital in developing the standards of a new industry certification – the certified cost report specialist (CCRSSM), introduced in 2018 by the American Institute of Healthcare Compliance (AIHC). Our team leads training events nationwide for the CCRS designation, which is awarded and managed by the AIHC.

Team reviewing Medicare and Medicaid cost reports in a professional healthcare finance setting

Service when you need it

Medicare/Medicaid cost reporting services

  • Report preparation and review
  • Assistance with settlements, cost report audits, appeals, and other CMS and MAC issues
  • Assistance with disproportionate share (DSH) and low-income reimbursement for hospitals
  • Compile and review Medicare and Medicaid bad debts
  • Wage index audits and potential geographic reclassifications
  • Assistance with Medicare designations such as sole community, Medicare dependent, and/or rural referral centers, including low-volume adjustment requirements
  • Consultation on a range of provider issues
  • Analysis of square footage for proper cost allocations
  • Cost report training at the beginning, intermediate, or experienced level

Key areas of experience

  • Health systems
  • Hospitals of every size and type
  • SNFs
  • Home health agencies
  • FQHCs
  • Rural health centers
  • Inpatient rehabilitation
  • Hospice centers

The Kraft Difference

Handshake icon

People you trust

Anchored by local roots and respected in the industry, we’re proud of our people-first culture, which has set us apart for over six decades.

User icon

Industry expertise

Our team is led by experts with up-to-the-minute insight in their field. We’re accessible and ready to help when you need us most.

Bulb Icon

Independent thinkers

As one of our industry’s most established independent firms, we think critically and move quickly. Clients get answers fast and see tailored solutions.

Globe icon

Bandwidth for diversity

As a growing firm in a thriving region, we evolve to meet the needs of our diverse clientele, particularly those in the competitive middle market.

Team Leaders

Scott Mertie is the president of Kraft Healthcare Consulting, LLC

Scott R. Mertie

President

Kraft Healthcare Consulting, LLC

Katie Reid is vice president of the advisory services practice at Kraft Healthcare Consulting, LLC

Katie Reid

Vice President

Advisory Services

Kraft Healthcare Consulting, LLC