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Cost Reporting Lifecycle

Most all Medicare, Medicaid, and TRICARE program payments to institutional health care providers ultimately are based on required annual cost reports. This remains the case even under various prospective payment systems. With the resulting importance of cost reports in mind, SRG maintains expertise in all areas of the cost reporting lifecycle. Key components of the cost reporting lifecycle determine the flow of revenues to most hospitals, nursing facilities, home health agencies, and hospices and are summarized as follows.
  • Cost report preparation, documentation, and submittal.

  • Interim settlements, interim rate and PIP payment rate determinations.

  • Fiscal intermediary audits, provider/fiscal intermediary negotiations, and final settlement.

  • If necessary, cost report reopenings, amended final settlements, appeal filings, PRRB hearings, and federal court cases.


SRG is uniquely qualified to assist health care providers at any point in the cost report lifecycle. With a national client base of literally hundreds of providers, SRG has successfully addressed the full range of cost report related activities with many fiscal intermediaries. SRG’s experience is broad. SRG staff is exceptionally qualified. SRG offers the combined expertise of Certified Public Accountants and the experience of former fiscal intermediary auditors and senior executives. Should you require professional third party cost reporting services, SRG stands ready to provide superior experience, expertise, and performance.