Medicare Cost Report

Patient Count / Unduplicated Census Information

  • Patient Roster provides:
    The Date Range Beginning/End option restricts included patients to only those with a visit scheduled in that date range
    • A listing of unduplicated patients if the agency has entered re-admissions as new episodes
    • A listing of the insurances from the current episode. If the patient has had a mix of Medicare/non-Medicare insurances, this would have to be accounted for to determine an accurate count
  • Episode Detail Report, available from the Billing Manager page, provides:
    The Episode Detail Report's date range is based on episode start date
    • A listing of patient episodes
    • Both the insurance for the episode and the payer type of the insurance
    • A duplicated census by listing each episode for each patient on a separate line; duplicates must be removed to display an unduplicated census count
    • A listing of the service disciplines per patient
  • Non-Admitted Patients report provides:
    Included patients are restricted to those within the user-determined date range
    • A listing of all non-admitted patients

Visits by Discipline and Patient Statistic Information

  • Visits by Insurance report, available from the Billing Manager page, provides:
    Included visits are restricted to those within the user-determined date range
    • A listing of visits and charges per discipline and per insurance
  • Episode Detail Report, available from the Billing Manager page, provides:
    The Episode Detail Report's date range is based on episode start date
    • A listing of completed visits per discipline
    • Total visit count per episode
  • Utilization Report provides:
    • A listing of patients and visits by age
    • Admissions by source of referral
    • A listing of discharges by reason
    • A listing of visits by type of staff
    • Visits by primary source of payment
    • A listing of patients and visits by principle diagnosis for which care was given
  • Discharge/OBQI Report provides:
    Only OASIS tasks in Exported status appear in this report
    • Patient discharge reason
    • Whether patient's health status improved or deteriorated from the most recent Start of Care/Resumption to the Discharge OASIS (available from the second tab in the Excel file)

Admissions and Recertification Statistics Information

  • Ending Episodes/Recent Admissions report provides:
    Included information is restricted to the user-determined date ranges
    • A listing of ending episodes
    • New patient episodes
  • Episode Detail Report, available from the Billing Manager page, provides:
    • Episode date ranges compared to Start of Care dates
  • Marketing Report provides:
    • Episode length
    • Internal and external referral information
  • Utilization Report provides:
    • Admissions by source of referral

Medical Supply Charges Information

  • Visits by Insurance report, available from the Billing Manager page, provides:
    Included information is restricted to the user-determined date range
    • A listing of billed supplies (available from the third tab in the Excel file)

Average Case Mix Information

  • HHRG Report, available from the Billing Manager page, provides:
    Included information is restricted to the user-determined date range
    • Case mix weight by physician
    • Case mix weight by clinician