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016.06.20-250.110. Cost Report and Provider Statistical and Reimbursement Report (PS & RR).

AR ADC 016.06.20-250.110Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 20. Hospital/Critical Access Hospital (CAH)/End-Stage Renal Disease (ESRD) Provider Manual (Refs & Annos)
Section 250.000. Reimbursement.
Ark. Admin. Code 016.06.20-250.110
016.06.20-250.110. Cost Report and Provider Statistical and Reimbursement Report (PS & RR).
Currentness
A. Under a common audit agreement, the Medicare intermediary performs audits required for both Title XVIII (Medicare) and Title XIX (Medicaid) purposes.
1. Whenever the intermediary reopens a Title XVIII cost report, it also reopens the corresponding Title XIX cost report.
2. However, the Arkansas Medicaid Program may also audit independently of Medicare.
B. To facilitate the reconciliation of the Provider Statistical and Reimbursement Report (PS & RR) to the cost report, providers are required to ensure that the dates of service of paid claims are within the appropriate cost reporting period.
1. Providers must split claims for inpatient stays that span consecutive cost reporting periods and that contain Medicaid-covered days in each of those periods.
2. For related billing information, see the Data Element Specifications Handbook for the CMS-1450 (formerly UB-92) and special billing instructions in this manual at Section 272.400.

Credits

Eff. Oct. 13, 2003.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.20-250.110, AR ADC 016.06.20-250.110
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