Fee Rates and Tools

• Medicare Swing-Bed SNF Rates
• Skilled Nursing Facility (SNF) Pricer/Resource Utilization Group (Rug) Rate
• Centers for Medicare and Medicaid Services (CMS) & Other Related Reimbursement Links
• Negative Reimbursement

Forms and Instructions

• Approved Cost Report Vendors
• Cost Report Due Date Extension Information
• Cost Report Forms and Instructions
• Cost Report Filing Instructions
• Electronic Filing Requirements

Audit Reference Materials

• Bad Debts
• Disproportionate Share Hospital (DSH)
• Direct Graduate Medical Education(DGME) / Indirect Medical Education (IME) GME/IME
• Intern and Resident Information System (IRIS)
• Wage Index/Occupational Mix
• Cost Report Appeals
• Cost Report Reopenings

Reimbursement Reference Materials

• Interim Rate Setting
• New Provider Statistical and Reimbursement (PS&R) System (Individuals Authorized Access to the CMS Computer Services (EIDM))
  (Use for dates of service after 01/30/09)
• Legacy Provider Statistical and Reimbursement (PS&R) Detail Form *(PDF)
  (Use for service dates prior to 01/30/2009)
• Novitas Explains the Part A Tie-In Process: What This Means To You
• Outliers
• Provider Based Determinations
• Skilled Nursing Facility
• Inpatient Psych Facility
• Inpatient Rehabilitation Facility (IRF)
• End Stage Renal Disease (ESRD)
• Maryland PPS Waiver (Periodic Payment System)
• Low Volume Adjustment - Criteria and Payment Adjustments for FY 2019
• FY 2019 Federal Rates

Audit Documentation Request Materials

• Bad Debt
• Disproportionate Share Hospital
• Indirect Medical Education/Graduate Medical Education
• Organ Aquisition
• Wage Index

Contact Information

• Provider Audit and Reimbursement Contact Information
• Update Your Facility's Contact Information
• Contact Information for Novitas Solutions
• Join E-Mail Lists for Novitas Solutions