Medicare Auditor
Contents
1. D PartV TiteXVIII Hospital D Part V D Part V Title XVIII 8 13 2015 Create Import Adjustments New Hover Text Feature Provider CCN CT Period dia 07 01 2010 Worksheet E 1 Part I 06 30 2011 aa ae a Inpatient Part A Part B mm dd yyyy Te Tein Amount 1 00 00 e iene toline 1 a ET col 2 00 ain Adjustment 7 1 Replace 20872206 New Value 20872206 bf the interim rate for the cost reporting period Also show c See PS amp R Reports 114 184 214 110 118 11R and 11S for Net Reimbursement and PIP payments 02 03 2011 02 03 2011 Create Import Adjustments Things to Know About Data Entry in Auditor e Enter Dates Two Digit Day Two Digit Month Four Digit Year Delete Dates Select date and press nal Or press 2 8 13 2015 Create Import Adjustments e Export Adjustments from PS amp R Difference Report Export ae R x Export to Auditor Replace to Cost Report one or more of these providers to include when exporting Create Import Adjustments e Import Adjustments Import Choose the adjustments you would like to import and order they appear Import file X Training Training 2015 8 18 2015 MAC and Provider User M Browse Current adjustments 2 0001 Completed cost reporting f lt gt 0002 Corrected mathematical an 0003 To determine whether total 2 0031 To update settlement 4 gt g2. 04 CASHIERING ACCOUNTS RECEIVABLE 05 OTHER ADMIN amp GENERAL 00 MAINTENANCE amp REPAIRS OPERATION OF PLANT OPERATION OF PLANT BLDG TWO LAUNDRY amp LINEN SERVICE HOUSEKEEPING DIETARY CAFETERIA FPODMNNAUNUNUNUUN EWN BR 8 13 2015 Review Adjustment Impacts e Tag Exclude Apply Auditor LLC Main Adjustments Details Adjusted Cos El Main adjustments Apply Options Adjustments to Apply O Apply All Adjustments Apply All Tagged Adjustments g qoOoOoooo0o0og JoOoOoOoOLRoOL08 Adjustments to Indude in Reports O Indude All Applied Adjustments Indude Only Tagged Applied Adjustments O None do not print Date Adjustment Report Sent to Provider After applying adjustments record this date as the date Adjustment Report was sent to provider Date 10 17 2013 Time 07 34 17 AM PUIKSKSICSIKSIKSICS KSAT Review Adjustment Impacts Impact Reports Print Options Specify if you want to print any available reports after applying your adjustments OPrinter Printers Preview O Print to File C MCRIF32 2552 10 HFS Text Case Auditor Audito Reports V Impact Report Adjustment Cost Centers Report Generate xis file Select All Select None Reprint Impact Report Process Tagged Adjustments Only When apply adjustments show the accumulated result O When apply adjustments show individual result
3. Combine mm 0001 Completed v lt gt Appi L Ex Ta Worksheet Program T Provider Line Colum Action Vale Orignal Other Error 0 00 0 00 Replace e REMEMBER Can t Adjust Calculated Fields Create Import Adjustments e Manually Enter Detail Adjustments e Select Options Worksheet Status Options Identifiers e Tagged e Worksheet e Select Action e Excluded e Program from list e Applied e Provider e Review all e Delete messages 8 13 2015 Create Import Adjustments Main Adj 71 WP Ref Applied No Tagged No Exduded No e Adjustment f Redass Code A Line 1 00 Action Replace i Detail om a O aa Increase Line 10 00 10 00 0 0 W 1 d Increase Salary n O W Increase Other 249876 249876 Decrease Line x 5 00 Decrease Salary C g Decrease Other Applied No Created 10 17 2013 Tagged Modified 10 17 2013 07 23 30 AM Create Import Adjustments Right click the mouse button in a worksheet cell to create a new adjustment 8 13 2015 Create Import Adjustments Adjust Selected Worksheet Cell 1 Open Worksheet 2 Select Cell 3 Click Create Adjustment Button Create Import Adjustments View Same Cell Adjustments Worksheet D Part V Title XVIII Hospital Line Original Value Main Adjustments Details Adjusted Cost Centers Move Change Combine sn E 0036 To adde tstatis lt G T Worksheet am Provider B 1
4. Frish Cancel 10 8 13 2015 Adjustment Reports Sorting Printing Printing Detail Specify if you want to print any available reports after applying ret Adjustment Report Print Options E Customize the way you want to print the Adjustment Report Start page numbering at 1 C MCRIF32 2552 10 HFS Text Case Auditor_Audite J A Sort adj ts by t Print empty adjustments Print one adjustment per page Reports TE CE oes _ Print adjustment cover page Adjustment Cost Centers Report Calculation Edits Select all Selectone Print all Reports to a single POF file v lt Back Next gt Finished Cancel Review Adjusted mcax file View Print No Editing Read Only 1050111 ELK GROVE HOSPITAL X D Part V Title XVIII Hospital Apportionment of Medical Other Health Services and Vaccine Cost D Part V Title XVIII Hospital Apportionment of Medical Other Health Services and Vaccine Cost Read Only J K C MCRIF32 2552 10HFS Text Case Auditor mcax 11 8 13 2015 Review Audit Adjustments e File from MAC During audit request the Auditor file Save the Auditor file to the folder where your mcr x file is Renaming Your cost report file name must match the Auditor file name Use Save As within the HFS system to rename yo
5. proposed adjustments 9 Revise adjustments Using Auditor During Audit 10 Add new adjustment e Import one or more i e Final versus desk review adjustments e Create new adjustment and manually add 11 Compare final W S S to the NPR add in any other changes made by the FI post audit as needed 12 Save Final audit adjustments and related cost report files for use during appeals or other analysis 16 8 13 2015 Use Auditor for Amended Report 1 Open As Filed Cost Report file 2 Save to new directory or folder 3 Open Medicare Auditor e Create or import adjustments Review deleting lines in an adjustment Review deleting adjustments Review tagging adjustments Review Reorganize function e Calculate e Review Edits Level Level Il s etc e Print Audit Adjustment Report recommend Adjustment Order Use Auditor for Amended Report e Close Medicare Auditor 4 Go to VIEW gt Adjusted Report Open W S S this is now the projected settlement for your Amended report e Print the Adjusted W S S 5 Close HFS 6 Go to the location where file was saved Delete the file with the mcrx extension this is the As Filed cost report e Locate the file with the mcax extension and change that extension to mcrx 17 8 13 2015 Use Auditor for Amended Report e You may also want to rename the file name to distinguish it from your as
6. 8 13 2015 Auditor What If s amp Other Impact Analysis By Roberto Azzimonti HFS Chuck Briggs HFS Overview of Today s Topics O Who Uses it amp Why Create or Import Adjustments Review Impact Analysis Perform What If Scenarios eo Review Audit Adjustments 8 13 2015 Who Uses it amp Why Developed for MACs amp Providers Original Cost Report Never Modified Adjust Any Enterable Cell Modify Cost Center amp Statistic Allocations Detailed Record of Changes amp Impacts Who Uses Auditor amp Why Provider M AC PDR Update What If s PS amp R etc Review Audit Field Audits Adjustments Create Import Adjustments e Manually Enter Adjustments Main Adjustments Auditor Main Adjustments Details Adjusted Cost Centers Move Change Combine Main adjustments Exclu Tag _ Number Applied Notes O CE O Completed cost reporting forms and pages in accordance with current regubtions Corrected mathematical and flow through errors in cost reporting forms and pages as necessary To determine whether total Program reimbursement costs exceed total Program charges and ff so 3 Create Import Adjustments sca Adjustments 8 13 2015 8 13 2015 Create Import Adjustments e Manually Enter Detail Adjustments e Detail Adjustment Screen X auditor Main Adjustments Detais Adjusted Cost Centers Move Change
7. anual pages 95 123 Perform What If Scenarios 1 Effect of changes in hospital operations e Add or remove beds e Increase or decrease IME GME FTE s e Add or remove buildings effect of vacant sf 2 Reserve Analysis e Audit issues that potentially affect other open years Bad debt IME GME FTEs DSH Other 3 Effect of changes in Cost Report instructions e Labor Room Days 14 8 13 2015 Using Auditor During Audit 1 Discussion of Benefits a Ability to sort adjustments differently for review b Easier to compare changes from one version to the next c Using Impact Analysis can determine which adjustments are material d Will function as electronic NPR file once audit is complete i Appeals ii Amended reports Using Auditor During Audit 2 During audit request auditor file from auditor and the adjusted W S S for comparison 3 Import audit adjustments e Note Tentative Settlement adjustments will not reflect correctly in the hospital s software due to CMS restrictions To resolve find the Tentative Settlement adjustments and revise the line numbers to be in the W S E 1 lines 3 00 or 3 50 series use next available line 15 8 13 2015 Using Auditor During Audit 4 Calculate 5 Print Audit Adjustment report e Review print options 6 Verify that the Adjusted W S S agrees to the version provided by the auditor 7 Run Impact Report 8 Review auditor s
8. filed report recommend putting Amend or AMD in the file name 7 Restart HFS and open the newly renamed file 8 Open W S S and verify that the total settlement amount agrees to the copy you printed earlier 9 Create ECR and submit report to intermediary e Depending on your Fl s submission requirements include the Audit Adjustment Report that identifies all changes made to the As Filed Cost Report and your supporting workpapers Fine Questions amp Comments 18
9. t 0032 To update settlement Append to end _ Insert into empty positions O Insert keeping original numbering Don t import already existing adjustments 8 13 2015 Create Import Adjustments e Use Adjusted Cost Centers screen to modify cost center codes stat codes descriptions labels Auditor oe MH Main Adjustments Details Adjusted Cost Centers Move Change Combine tol 0 00 Indude sub ir Add OCR OCR ACR ACR ACR ACR Line Code Cost center description Stat Label 1 00 00100 SQUARE FEET 2 00 00200 DEPRECIATI EXPENSE 3 00 00300 4 00 00400 4 01 00401 MAINTENANCE OF PERSONNEL 5 01 00540 NONPATIENT TELEPHONES 5 02 00560 PURCHASING RECEIVING amp STOI 5 03 00570 ADMITTING 5 04 00580 CASHIERING ACCOUNTS RECEIV 5 05 00590 OTHER ADMIN amp GENERAL 6 00 00600 7 00 00700 GROSS SALARIES FTE S NUMBER OF TELEPHONE COSTED REQ GROSS REVENUE GROSS REVENUE ACCUM COST SQUARE FEET SQUARE FEET OynKananswvsSne Create Import Adjustments Use Move Change Combine Auditor Main Adjustments Details Adjusted Cost Centers Move Change Combine 2 Move Line ES From 1 00 v To vl E a kg gt 1 00 CAP REL COSTS BLDG amp FIXT 2 00 CAP REL COSTS MVBLE EQUIP 00 OTHER CAPITAL RELATED COSTS 00 EMPLOYEE BENEFITS DEPARTMENT 01 MAINTENANCE OF PERSONNEL 01 NONPATIENT TELEPHONES 02 PURCHASING RECEIVING amp STORES 03 ADMITTING
10. ur data file to match the name of the Auditor file Rename the Auditor file match your mcr x file When you open the cost report and open the Medicare Auditor the Audit Adjustments will be there Review Audit Adjustments Example of Properly Named Files HFS Text Case Auditor mcrr HFS Text Case Auditor Auditor 12 8 13 2015 Review Audit Adjustments e Importing 5 Aucitor Utes 4 Auditor Utilities Import Auditor Name Choose the adjustments you would like to import and order they appear Detail Headings Import Import file C MCRIF32 2552 10 HFS Text Case Auditor Auditor Browse Reorganize Current adjustments gt a gt 2 0001 Completed cost reporting fi 0002 Corrected mathematical an 0003 To determine whether tota V Select all C Do not import empty adjustments O Append to end EMI O C Insert into empty positions Review Audit Adjustments e Make Wage Index Adjustments through Auditor The Adjustment Report could be turned in as documentation of your changes You could share your Auditor file with the MAC They could then import your adjustments just as you entered or with any changes 13 8 13 2015 Perform What If Scenarios Auditor never modifies as submitted cost report Great way to add delete and combine cost centers without changing original Enter adjustments to use different data without re entering data See User M
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