Reliable Cost Report Preparation
National Cost Report NCR .
Phone:
832-237-1040
8555 Westland West Blvd .
Fax:
832-237-1042
Houston, TX 77041.

Please Print, Complete and Fax to: 1-832-237-1042

Date:
Contact Name:
Contact Phone Number:
Contact Fax number:
Company name:
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9-Digit
HHSC Number
Facility Name
and Type of Report
Beginning Report
Period Date
Ending Report
Period Date
       
       
       
       
       
       
       
       

Our service includes: MEDICIAID
Preparation of your Texas Medicaid Nursing Facility cost reports and / or Annual Staffing and Compensation reports and /or Enrollment reports as required by HHSC, Rate Analysis Department. Upon timely receipt of requested information, cost reports will be completed prior to their due date. Each cost report will be completed in compliance with HHSC, Rate Analysis Dept. specific instructions outlined in the HHSC training manual: TAC rules 333.101 through TAC rules 355.111. This includes proper use of approved allocation methods and identification of allowable and unallowable costs. You will receive 2 copies of each facility's completed cost report with supporting work-papers., including page 43 signed and notarize by our certified preparers. This service also includes answering any desk review questions as they relate to cost report preparation. All cost reports will be next day overnight mailed to you. Expect Enrollment Report in (2-days).

Our service includes: MEDICARE
Preparation of your SNF Medicare cost reports as required by HCFA and your fiscal intermediary. Upon timely receipt of requested information cost reports will be completed prior to their due date. Each cost report will be completed in compliance with HCFA HIM-15 and PPS rules and regulations. You will receive 2 copies of each facility's completed SNF Medicare cost report with supporting work-papers, along with a diskette containing the electronic cost report for each facility for submission to you fiscal intermediary. You will also receive a completed HCFA-339 questionnaire. This service also includes answering any desk review questions as they relate to cost report preparation. An invoice will be sent to the contact person after all cost reports are completed. Fee $ 2,275.00.

 
Upon receipt of this order form, we will contact you to establish communication, assess your needs, due dates, any special circumstances. We will determine a fee for cost report preparation and prepare a cost report preparation engagement bid for your review and approval.
 
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