During the time period that a patient’s Medicaid eligibility is being determined, classify the days and revenue as Medicaid. In the event the patient is not approved for Medicaid, the days and revenue should be reclassified out of the Medicaid category. Social Security and sources of payments for Medicaid patients, such as private sources, should be classified as Medicaid revenues on Schedule B. This will capture the full revenue received for Medicaid clients by patient classification. Revenues and days for all financial classifications of patients are to be reported using the accrual basis of accounting. If your Medicare Cost Report is based on a different fiscal year, you must report Medicare revenue and days from July 1 - June 30. If there are significant variances on the FCP for the reporting period, the Division of Health Care Financing (DHCF), aka the Division of Medicaid and Health Financing (DMHF), aka Division”, will require corrections to be made and a “the revised FCP submitted. In Column 4 list the gross revenue and any contractual adjustments per the facility’s general ledger. Contractual Adjustments an adjustment used to offset the difference between – Medicaid revenue billed verses collected. Report contractual adjustments that reduce revenue as negative numbers; and in the rare cases where contractual agreements increase revenue, report as positive numbers. In Column 5 record any provider adjustments as required by CMS Pub 15-1, State Rule, and State Plan Attachment 4.19-D. Record debits, any amounts that reduce the dollar figures in Column 4, as negative numbers. Record credits, any amounts that increase the dollar figures in Column 4, as positive numbers. Miscellaneous Income Revenue Category 10 – Telephone - Revenues received from pay phones, charges to patients and other phone-related services. Meals - Revenues received from the sale of meals to guests and employees. Laundry and Linen Services - Revenues received from laundering or dry cleaning patients’ clothes, employee laundry services, and other related laundry services provided.
During the time period that a patient’s Medicaid eligibility is being determined, classify the days and revenue as Medicaid. In the event the patient is not approved for Medicaid, the days and revenue should be reclassified out of the Medicaid category. Social Security and sources of payments for Medicaid patients, such as private sources, should be classified as Medicaid revenues on Schedule B. This will capture the full revenue received for Medicaid clients by patient classification. Revenues and days for all financial classifications of patients are to be reported using the accrual basis of accounting. If your Medicare Cost Report is based on a different fiscal year, you must report Medicare revenue and days from July 1 - June 30. If there are significant variances on the FCP for the reporting period, the Division of Health Care Financing (DHCF), aka the Division of Medicaid and Health Financing (DMHF), aka “the Division”, will require corrections to be made and a revised FCP submitted. In Column 4 list the gross revenue and any contractual adjustments per the facility’s general ledger. Contractual Adjustments – an adjustment used to offset the difference between Medicaid revenue billed verses collected. Report contractual adjustments that reduce revenue as negative numbers; and in the rare cases where contractual agreements increase revenue, report as positive numbers. In Column 5 record any provider adjustments as required by CMS Pub 15-1, State Rule, and State Plan Attachment 4.19-D. Record debits, any amounts that reduce the dollar figures in Column 4, as negative numbers. Record credits, any amounts that increase the dollar figures in Column 4, as positive numbers. Miscellaneous Income – Revenue Category 10 Telephone - Revenues received from pay phones, charges to patients and other phone-related services. Meals - Revenues received from the sale of meals to guests and employees. Laundry and Linen Services - Revenues received from laundering or dry cleaning patients’ clothes, employee laundry services, and other related laundry services provided.