Corporate Compliance

Verify that your hospital's cost reports reflect accurate wage data

Health Care Auditing Strategies, December 1, 2005

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Let's face it: If you don't have much experience looking at cost reports, the term "cost report" alone can sound like a snooze fest.

But that's no reason to avoid delving into cost reports at your facility. In fact, there's one compelling reason for you to audit cost reports: wage data. CMS uses hospital wage data to determine DRG amounts by metropolitan statistical area (MSA).

As such, reporting the wrong wage data on an end-of-year hospital cost report creates a ripple affect you'll want to avoid.

If your facility is one of a few that comprise a metropolitan statistical area, incorrect wage data could affect future DRG reimbursement rates--not only for your facility, but for others in your DRG rate group.

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