Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 35, Form CMS-2540-96
This transmittal updates Chapter 35, Skilled Nursing Facility (SNF) Complex Cost Report, Form CMS 2540-96, to reflect further clarification to existing instructions. The effective date for instructional changes is October 1, 2009.
Significant Revisions:
Worksheet S-2 -- When a provider has experienced low Medicare utilization, or no Medicare utilization, but wishes to file, or is required to file a full Medicare cost report, the letter “F” must be entered on line 20.
Worksheet I-4 -- Effective for services on and after 10/01/2009, a SNF-based Rural Health Clinic/Federally Qualified Health Clinic (RHC/FQHC) must subscript column 2. One subscript will be to capture the administration of H1N1 and the second column will be to capture the combination of administering both the influenza and the H1N1 vaccines during the same visit. There is no cost associated with the H1N1 vaccine itself to providers
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: February 01, 2010
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