Home Health & Hospice Week

Industry Note:

Double-Check Who Is Signing Your Cost Reports

Some newly announced changes for home health agency cost reports may alter how you submit them.

Transmittal 18, issued by the Centers for Medicare & Medicaid Services last month, updates Chapter 32, Home Health Agency Cost Report, Form CMS-1728-94 to add a checkbox that allows a provider to elect and sign the Certification and Settlement Summary page of the Medicare cost report using an electronic signature, notes the National Association for Home Care & Hospice in its member newsletter. The change is effective for cost reporting years ending Dec. 31, 2017, and later, CMS says in the transmittal.

"The signature instructions now specify the cost report must be signed, with an original or electronic signature, by the Chief Financial Officer or Administrator," adds consulting firm The Health Group in Morgantown, West Virginia. "Previously, the instructions provided for a signature by an Officer (undefined further) or Administrator," the firm says in its electronic newsletter.

Do this: "Home Health Agencies should check with their cost report preparer to make certain an appropriate individual signs the cost report," The Health Group advises.

Providers should also stay tuned for more specifics on electronic signature requirements, and for similar instructions for hospice cost reports.

See the transmittal at www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2018Downloads/R18P232.pdf.

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