Financial Data Submission Tools
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Annual Cost Report Model - input and output worksheets for all cost report schedules, which are part of the Annual Filing for FY 2022. (June 23, 2022) includes print macros for several output schedules. Update: Hospitals need only submit the output worksheets for the cost report - it is permissible to use other models, as long as the outputs match the available schedules in the model below. (July 26, 2022)
Preliminary Supplemental Schedule for Population Health and Care Transformation Expenses
a preliminary schedule organized at a system level to capture cost information on investments of funds saved as a result of eliminating low value direct care and the investment those funds into high value indirect efforts that improve population health and the effectiveness and efficiency of necessary care. Instructions (PDF)
Case Mix Reconciliation form is used to reconcile hospital financial data by payer (All-Payer, Medicare FFS, Medicare HMO) and patient residency with the case mix patient-level charges.
Intern and Resident Survey (IRS) Schedule Template contains a worksheet with instructions. In 2012, based on hospital feedback, HSCRC staff added to the Schedule IRS template a column (Col 11 Percent of Rotation) in which hospitals may report a percentage of the rotation period for which a resident worked on patient care activities at the hospital. *Note that a hospital's IRS Schedule must reconcile with the hospital's IRIS (Intern and Resident Information System) Report submitted to the Medicare fiscal intermediary. If the reports do not reconcile, the hospital must submit a supplementary worksheet to HSCRC staff explaining the reasons for the differences between the reports.
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MD Hospital Data Repository Data Collection System Revenue and Volumes Report is mandated reporting of hospitals billed charges and related volumes by rate center. This report is also submitted monthly, 30 days after the end of each month and is used to ensure hospital charging compliance with approved rates. For questions regarding the Data Collection System, please contact Amanda Vaughan.
Outpatient Services Survey lists all outpatient services at regulated hospitals that are:
- Owned (more than 50%) by the hospital regardless of whether it is a regulated or unregulated service, no matter where the services are located, or
- Not owned by the hospital but located in the principal hospital buildings or in other buildings in which regulated hospital services are provided.
The Hospital Patient Information Sheet According to Health-General §19-214.1(e), Maryland’s acute care hospitals must provide a patient information sheet to patients being discharged from the hospital. The HSCRC has developed Guidelines for the Patient Information Sheet and answers to Frequently Asked Questions in order to assist hospitals in developing/editing their own patient information sheets. For more information, please contact Amanda Vaughan at 410-764-2605. |
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