CCRS Cost Report Specialist case studies
CCRS Cost Report Specialist · Put your knowledge to work in context.
The Certified Hospital Cost Report Specialist (CHCRS) is a healthcare finance credential listed on HFMA's certifications index. HFMA's own description is brief: the program is shown at 10 CPEs, and its content is described as "an in-depth presentation of key components of hospital cost reporting." The credential is aimed at people who build, review, or audit hospital cost reports - reimbursement analysts, cost accountants, reimbursement managers, consultants, and auditors who must defend a filed report under scrutiny. The CCRS Cost Report Specialist case studies are 6 cases and about 5,094 words.
1The Error Found After the Notice of Program Reimbursement
Valley Ridge Regional is a 210-bed acute care hospital with a June 30 fiscal year end. Its FY2025 cost report went to the MAC through MCReF on March 4 without an extension request; the due date was February 28.
856 words, about 4 min2Reordering Worksheet B After a Clinic Acquisition
Northgate Hospital is a 175-bed acute care hospital with a December 31 fiscal year end. Its Worksheet B step-down has run in the same order for a decade: Administrative and General on accumulated square footage, Plant Operation and Maintenance on square footage, Laundry and Linen on pounds, Dietary on meals, Medical Records on records processed, then the patient care areas.
843 words, about 4 min3Three-Day Window Judgment: Three Patients, One Weekend
Lakeside Medical Center is a 260-bed IPPS hospital. It owns 100 percent of Lakeside Physician Group, which bills under the Physician Fee Schedule and sits two blocks from the hospital.
808 words, about 4 min4DSH, IME, and the Expansion Population
Harborview Teaching Hospital is a 330-bed acute care hospital with a December 31 fiscal year end, located in a state that expanded Medicaid coverage through an 1115 demonstration waiver rather than a State Plan amendment. FY2025 statistics: 21,000 total Medicare Part A inpatient days; 3,150 days for patients entitled to both Part A and SSI; 4,900 Medicaid days, of which 1,300 are Medicaid managed care enrollees; and 2,600 days covered only through the 1115 expansion demonstration.
830 words, about 4 min5What Belongs in the Bad Debt Line
Pinehurst Community Hospital is a 140-bed acute care hospital with a June 30 fiscal year end. At year end the patient accounting system shows these Medicare-related write-offs: 22,600 of coinsurance on dual-eligible inpatient accounts, where the state Medicaid plan makes the beneficiary liable for coinsurance and requires the hospital to bill the beneficiary; the hospital billed twice, received nothing, and wrote the accounts off at 190 days.
909 words, about 5 min6The Extrapolated DSH and Bad Debt Audit
Calumet Regional is a 400-bed acute care hospital with a September 30 fiscal year end. In June the MAC opened a cost report audit of FY2023.
848 words, about 4 min