CAH Reimbursement & Cost Report Overview – 2-Part Series

*Part of the Healthcare Providers Reimbursement Series

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Medicare-certified Critical Access Hospitals (CAHs) are reimbursed from the Medicare program under a cost-based reimbursement system. This system is distinct and different from other Medicare program fee-for-service methodologies, such as the inpatient and outpatient prospective payment systems. These reimbursement systems inherently cause different financial and operational issues that are truly unique to Critical Access Hospitals.

Please join QHR Health’s John Waltko for a high-level overview of the Medicare cost-based reimbursement methodology. With this fundamental knowledge, attendees will better understand some of the unique reimbursement challenges Critical Access Hospitals face and how they impact the CAH’s financial performance.

CPE Credit

Learning Objectives:

  • Develop an understanding of “how” CAH cost-based reimbursement is determined by the Medicare program, and through the Medicare Cost Report
  • Understand the Medicare Cost Report Apportionment Formula and how it determines Medicare cost reimbursement
  • Learn how changing volumes, costs, and payor mix impact Medicare cost reimbursement through the Medicare Apportionment Formula

Who Should Attend:

  • CEOs
  • CFOs
  • Senior Management and Officers
  • Revenue Cycle and Reimbursement Professionals
  • Controllers and Accountants


Participants will earn 1.0 CPE credit

Field of Study: Specialized Knowledge
Prerequisites: None
Who Should Attend: CEOs, CFOs, Senior Management and Officers, Revenue Cycle and Reimbursement Professionals, Controllers and Accountants
Advanced Preparation: None
Program Level: Basic
Delivery Method: Group Internet Based

Quorum Learning Institute (QLI) is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website:

QLI may cancel or reschedule a live webinar program at its discretion due to unforeseen circumstances. We will use reasonable efforts to notify registrants of the cancellation at least two weeks (10 business days) in advance of the original live webinar program.

If QLI cancels a live webinar program, refunds of the webinar registration fee will not be given. However, all current registrants at time of cancellation will obtain a credit to be applied to a future live webinar program of their choice.

Complaint Resolution:

For information regarding refunds, program cancellation policies and/or concerns please contact our client support team at (615) 371-7979 ext. 4506 or