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Swing Beds

Swing Beds. Lesson 4 Cost Report Treatment. What is a cost report?. A cost report is somewhat similar to a “tax return”. Cost reports are required in order to report to Medicare and Medicaid the cost of providing services to patients.

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Swing Beds

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  1. Swing Beds Lesson 4 Cost Report Treatment

  2. What is a cost report? • A cost report is somewhat similar to a “tax return”. • Cost reports are required in order to report to Medicare and Medicaid the cost of providing services to patients. • Cost reports are filed annually and provide extensive detail regarding how much money a hospital spent as compared to how much the hospital was paid.

  3. What is a cost report? • Let’s compare a cost report to a tax return.

  4. Medicare Swing-Bed Cost Reporting

  5. SNF PPS Swing-Beds • The SNF PPS swing-bed reimbursement methodology applies to rural hospitals that are not considered CAHs. • There are NO cost report settlements related to the swing-bed program in these hospitals.

  6. CAH Swing Bed Services • There are cost report settlements related to CAH swing-bed services. • CAH swing-bed services are paid at 101% of reasonable cost. • Reasonable cost is determined annually from the Medicare cost report.

  7. Swing Beds – CAH Cost Report • Days are counted based on the level of care, not the specific bed the patient occupies. • Example: A specific bed can be used for a given number of IP routine days, swing bed skilled days, and nursing facility days during the same reporting period. Therefore, all SB SNF days go on S-3 line 3, SB NF days line 4, and IP routine days line 1

  8. Swing Beds – CAH Cost Report • The cost report will be used to determine the “cost” of providing swing-bed services to Medicare patients. • This cost will be increased by 1%. • The 101% cost amount will then be compared to the per diem rates that were received during the year by the hospital. • If underpaid, the hospital will receive additional monies. If overpaid, the hospital must pay back monies to Medicare.

  9. Georgia Medicaid

  10. Medicaid Cost Reports • Georgia Medicaid pays a fixed per-diem rate for swing-bed services. • These fixed rates are based upon prior year state-wide nursing home cost reports, NOT hospital cost reports. • There is no Swing-Bed services cost report, therefore there will not be a year-end cost report settlement for swing-bed services.

  11. Questions? If you have any questions or comments, please contact: Linda Fausett PFS Instructor lcbraswell@yahoo.com

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