Medicare Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 43, Form CMS-1984-14
This transmittal updates Chapter 43, Hospice Cost Report, (Form CMS-1984-14) to revise and modify the forms and instructions as follows:
Worksheets A, B, and B-1 - add the Items and services under ASFRA 1997 nonreimbursable cost center to identify costs associated with §1862(a)(16) of the Act and the Assisted Suicide Funding Restriction Act of 1997 (Public Law 105-12)
Revise edits 1047 and 1050A
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 25, 2022
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