Cost Report Desk

CMS-1984-14 hospiceSelf-determined capCMS-1728-20 home health

Medicare cost reports for independent hospices. Flat fee, filed on time.

We prepare your hospice cost report and your cap report from your own books, walk you through the numbers before you sign, and file through CMS’s e-filing system. You know the price before we start.

Flat fees, quoted up frontNo hourly billing for the report itself.

A draft in 10 business daysCounted from the day your records are complete.

Our mistake, our refileIf your contractor rejects a report for an error in our work, we fix and refile it free.

Free Cost Report Check

See your last report the way a reviewer would.

Every Medicare cost report is public. We pull your hospice’s last one from CMS’s own files and send you a one-page check. No cost, no obligation, and it uses only what you already filed.

  1. 1

    Your deadlinesYour next cost report and cap report dates, and when CMS logged your last report.

  2. 2

    Your last report at a glanceDays by level of care, cost per day, revenue and margin.

  3. 3

    Where you sitCost per day, routine home care cost per day and margin, next to hospices your size.

  4. 4

    What we’d check before you fileThe questions a contractor’s reviewer is likely to ask about your numbers.

Ask for your check

Prices

One price per report. Set before we start.

Fee schedule

Flat · per report

1Hospice cost reportForm CMS-1984-14, prepared and filed$1,750
2Self-determined cap reportOn your contractor’s form, from your PS&R data$450
3Cost report and cap report togetherLines 1 and 2$1,995
4Review onlyYou prepare it; we check it before you file and send written findings$750
5Home health cost reportForm CMS-1728-20$1,500
6Home health low-utilization reportWith your contractor’s approval$400

Cost reports: half at signing, half when the report is ready for your signature. Cap and review-only: paid at signing. Pay by ACH, card or check. The first two hours of follow-up questions from your contractor are included; other work, like audits or amended reports after your books change, is $150 an hour and only with your OK.

How it works

Four steps, and you sign last.

  1. Step 1Send your records

    Through a secure upload link: trial balance, payroll summary, patient days by level of care and payer, and your PS&R report. No patient charts.

  2. Step 2We prepare it

    In CMS-approved cost report software, with every reclassification and adjustment written down. A draft within 10 business days.

  3. Step 3You review and sign

    We walk you through the results and the certification page. Your administrator or CFO signs; the certification is yours.

  4. Step 4We file it

    Through CMS’s e-filing system (MCReF) if you give us filer access, or you upload the package yourself. Then we answer the contractor’s questions about our work.

New this year

The first reports on the April 2026 hospice form

For years ending on or after June 30, 2026, the hospice form (Transmittal 8) asks on Worksheet S-2 for the date your PS&R paid claims were verified current. June 30 year-ends file on it first, by November 30.

Cap year 2026

The cap is $35,361.44 per beneficiary

Every Medicare hospice certified by October 1, 2025 files a self-determined cap report for October 2025 through September 2026, from the PS&R summary and hospice cap reports. Each contractor (Palmetto GBA, CGS or NGS) takes it on its own form.

Free Cost Report Check

Ask for your check.

Tell us which hospice. We’ll build the check from CMS’s public files and send it to you, usually within one business day. Please don’t include any patient information.

We use this only to reply to you.