CMS-2552 Medicare Cost Report
CMS_2552free10 data-quality rules for the Medicare Hospital Cost Report (CMS-2552-10) filed by providers to their MAC via the MCReF / ECR format. Covers required worksheets, CMS Certification Number (CCN) validity, worksheet balancing and cost-to-charge consistency, non-negative beds/costs/charges, reporting period, and duplicate suppression. Use it to clear edits before submission.
Checks included (10)
Worksheet G Balance Sheet Balances
Worksheet G total assets must equal total liabilities plus fund balances.
Cost Report Period Start Before End
The cost-reporting period begin date cannot be after its end date.
Worksheet A Costs Tie to Trial Balance
Total costs on Worksheet A must tie to the general-ledger trial balance (within rounding).
Charges Are Non-Negative(total_charges)
Reported charges (Worksheet C) cannot be negative.
Cost-to-Charge Ratio Is Plausible(cost_to_charge_ratio)
The cost-to-charge ratio should fall between 0 and 1.5; values outside this band indicate a likely cost or charge error.
Bed Counts Are Non-Negative(total_beds)
Reported bed counts cannot be negative.
CMS Certification Number Present(ccn)
Each cost report must carry the provider's 6-character CMS Certification Number (CCN).
Required Worksheets Present
Core worksheets (S-series identification, A costs, C charges, G balance sheet) must be present.
CCN Is a Registered Provider
The CCN must exist in the CMS provider-of-services registry.
One Report per Provider per Period(ccn_period_key)
A provider should file a single cost report per fiscal period.