Audit
The Audit area performs desk reviews and audits of Medicare cost reports, issues the Notice of Program Reimbursement (NPR), and processes cost report reopenings and appeals.
Desk Review and Audit |
Medicare cost reports are subject to reviews to determine the adequacy, completeness, and reasonableness of the data reported. Based on initial review findings, cost reports may be subject to in-house or field audits. |
Email us at: JMCostReport@palmettogba.com |
Reopenings |
A reopening of a cost report may be requested within three years of the NPR if the following conditions are met:
Requests must be in writing and supporting documentation must be submitted with the reopening request. |
Email us at: JMAudit.Reopening@palmettogba.com |
Appeals |
Providers have the right to appeal cost report review determinations. An appeal of a cost report issue can be requested, within 180 days of the NPR, through the electronic filing system, Office of Hearings Case and Document Management System (OH CDMS) located at https://portal.cms.gov/. |
Email us at: JMAudit.Appeal@palmettogba.com |
General Information |
Stay Up-to-Date on the Latest Medicare Audit and Reimbursement Information |
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