For standard fiscal year ends, the cost report is due five months after the fiscal year end (FYE) date (the last day of the fifth month). For nonstandard fiscal year ends due to a change of ownership or a termination, etc., the cost report due date is the greater of 150 days from the FYE or 37 days after the cost report reminder letter has been sent to the provider. If the due date falls on a holiday or weekend, the cost report is due the next business day.
Reference
As explained by CMS in the calendar year (CY) 2025 final rule:
Under Medicare Part B, certain types of services, including services incident to physicians’ or practitioners’ professional services, are required to be furnished under specific minimum levels of supervision by a physician or practitioner. For most services furnished by auxiliary personnel incident to the services of the billing physician or practitioner, direct supervision is required.
If a provider or supplier establishes a new practice, opens a new facility, or closes or changes the address of an existing...
No. The services provided by physical therapist assistants (PTAs) cannot be billed incident-to a physician/non-physician practitioner’s (NPP), because PTAs do not meet the qualifications of a therapist. Only the services of a licensed/registered physical therapist can be billed incident-to a physician service. PTAs may not provide evaluation services, make clinical judgments or decisions, or take responsibility for the service. PTAs act at the direction and under the supervision of the treating physical therapist and in accordance with state laws.
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 49.
Refer to section 8 of the SPOT User Guide.
Read this article for tips on how to prevent claim adjustment reason code (CARC) CO B9.
There are two tabs under eligibility that will provide helpful information regarding other insurance.
The Medicare Advantage plan tab will provide you with the name, address, and other information for a patient’s Medicare Advantage plan, if applicable. The MSP (Medicare secondary payer) tab will provide the reason that Medicare is secondary, as well as the other insurance effective date and term dates, name, policy number and address.
