Electronic cost report exhibit templates

In support of efforts to streamline the Medicare cost report (MCR) process for participating providers, CMS is supplying optional electronic versions for key MCR exhibits. Utilizing these optional electronic versions will aid MACs in reviewing supporting data from providers, and reduce the need for rejections, amendments, and follow-up communication about MCR submissions. When used in combination with the Medicare Cost Report e-Filing system (MCReF), providers will also receive additional pre-emptive feedback about potential issues with the information in their exhibits.

All electronic cost report exhibit templates can be found at: 

https://www.cms.gov/medicare/audits-compliance/part-a-cost-report/electronic-cost-report-exhibit-templates 

Here you can download the following exhibits with MCR specifications: 

• Medicare Bad Debt Listing
  • The Medicare Bad Debt Listing specification has three variations, depending on the MCR version the listing is being submitted with.
  • A general specification shared across the following MCR versions and exhibits :
    • 222-17 – Exhibit 1
    • 2088-17 – Exhibit 1
    • 224-14 – Exhibit 1
    • 265-11 – Exhibit 1
    • 2540-10 – Exhibit 1
  • MCR Version 1728-20 – Specifying the layout for Exhibit 1 
  • MCR Version 2552-10 – Specifying the layout for Exhibit 2A 
• Medicaid Eligible Days
  • The Medicaid Eligible Days specification is designed to accommodate the completion of Exhibit 3A of the 2552-10 Medicare Cost Report .
• Charity Care Charges
  • The Charity Care Charges specification is designed to accommodate the completion of Exhibit 3B of the 2552-10 Medicare Cost Report .
• Total Bad Debt
  • The Total Bad Debt specification is designed to accommodate the completion of Exhibit 3C of the 2552-10 Medicare Cost Report .

As a reminder information on registering and filing can be found on the MCReF homepage at: https://mcref.cms.gov/ 

For the latest updates regarding MCReF as well as IDM registration information, the MCReF User Manual and FAQS please visit: https://www.cms.gov/Medicare/Compliance-and-Audits/Part-A-Cost-Report-Audit-and-Reimbursement/MCReF