Critical Access Hospital Reimbursement & Medicare Cost Reporting Boot Camp

**This is an in-person conference that will meet on-site at the QHR Health Conference Center in Brentwood, TN.

Get the training and information you need to compile your annual Medicare cost report and help improve Medicare reimbursements and financial operating results at your Medicare designated Critical Access Hospital.

Critical Access Hospitals (CAHs) receive cost-based reimbursement for services rendered to Medicare beneficiaries. Many state Medicaid programs also reimburse on a cost basis with Medicare Advantage Plans, piggybacking on traditional Medicare CAH interim payment rates. Sound conceptual understanding of the cost-based reimbursement system, along with knowledge of the Medicare Cost Reporting forms, are essential skills for CAH finance and revenue cycle professionals.

The CAH Reimbursement Boot Camp is designed to provide CAH finance leaders with a fundamental understanding of the Medicare program’s cost-based reimbursement system, as well as Medicare cost reporting forms and compilation requirements. After attending this program, participants will better understand cost reporting basics, as well as strategies to employ to ensure an accurate and complete Medicare cost report and Medicare reimbursement.

We recommend this course for healthcare leaders of a Critical Access Hospital, or a system that owns or operates a CAH, including:

  • CFOs
  • Revenue cycle and reimbursement professionals
  • Controllers or members of the accounting staff (and others involved in the cost report compilation process)
  • Financial Analysts

We also recommend the CAH Qualifying, Strategy & Reimbursement Session for CEOs, COOs, CAH department directors, and Hospital Board members.

We recommend the Cost Reporting Session be attended by CAH and PPS hospital financial professionals seeking detailed knowledge on compiling the Medicare cost report as well detailed reporting issues.

In order to be awarded the full credit hours, you must be present and participate in discussions, register your daily arrival and departure on the attendance sheets at the registration desk, and complete the evaluation for each day attended.


The CAH Qualifying, Strategy & Reimbursement Session (March 28th to Mid-Day March 29th) is designed for CAH finance staff and C-Suites. We’ll discuss cost-based reimbursement principles and learn how Medicare cost-based reimbursement varies depending upon volume changes, payor mix, and expanding or contracting service lines.

Reimbursement issues specific to CAHs that require C-suite attention to effectuate cost reimbursement strategies, such as hospital pricing in the CAH setting, physician compensation reimbursement issues, new capital projects, and other issues in the cost-based environment will also be covered. This session concludes with an overview of billing issues specific to the CAH and payment issues specific to the CAH.

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The Cost Reporting Session (March 29, 1 PM to March 31) is oriented for financial executives, accounting personnel, and others within the revenue cycle function who want to gain comprehensive knowledge on the cost report forms, data reported within the Medicare cost report, and specific cost reporting requirements; as well as reporting tactics and strategies that ensure CAHs receive as much cost-based reimbursement as possible within the guidelines of the Medicare cost reporting instructions and regulations. The cost reporting session is inclusive to hospitals subject to the Medicare prospective payment system. All hospitals must file annual Medicare cost reports, with PPS hospitals having to compile additional worksheets – including different settlement worksheets. Many state Medicaid programs and state-based supplemental reimbursement fundings are also based on the Medicare cost report, and as such, state fundings are impacted by the Medicare cost report. During this session, worksheets specific to PPS hospitals will also be covered.

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CAH Qualifying, Strategy & Reimbursement Session – March 28-29:

Participants will earn up to 8.8 CPE credits

Field of Study: Specialized Knowledge

Prerequisites: None

Who Should Attend: CFO, Revenue cycle and reimbursement professional, Controller or member of the accounting staff (and others involved in the cost report compilation process), CEO, COO, Hospital Board members

Advanced Preparation: None

Program Level: Basic to Intermediate

Delivery Method: Group Live

Learning Objectives:

  • Learn the principles of cost-based reimbursement methodology
  • Understand that the Medicare Cost Report determines Medicare Cost Reimbursement
  • Review physician reimbursement systems including Medicare Certified Rural Health Clinics
  • Review Rural Emergency Hospitals Medicare participation requirements and reimbursement implications
  • Understand how various CAH operations impact reimbursement, including special payment issues specific to CAHs
  • Gain knowledge of the cost reporting process and certification process


Cost Reporting Session – March 29-31:

Participants will earn up to 17.6 CPE credits

Field of Study: Specialized Knowledge

Prerequisites: None

Who Should Attend: CFO, Revenue cycle professional, reimbursement professional, Controller and members of the accounting and finance staff (and others involved in the cost report compilation process)

Advanced Preparation: None

Program Level: Basic to Intermediate

Delivery Method: Group Live

Learning Objectives:

  • Develop and enhance technical knowledge of reimbursement methodologies, cost reporting requirements, underlying reporting of costs, revenues, statistics on the cost report forms, and settlement data
  • Learn all major worksheets included in the Medicare Cost Report, CMS Form 2552 required to be compiled by CAHs and hospitals subject to PPS
  • Understand how the Medicare Costs are calculated within the cost report forms and how the various worksheets are completed and flow within the cost report
  • Technical understanding of multiple types of allowable versus non-allowable costs
  • Technical understanding of the Medicare cost report forms that allocate general service cost-center costs to patient care and non-reimbursable cost centers within the cost report
  • Understand how combining and reporting hospital departments into cost centers on the cost report effects Medicare cost reimbursement
  • Understand reporting of Medicare program revenues, patient statistics, and payment data on the appropriate worksheets and lines within the cost report forms
  • Learn appropriate and accepted cost allocation statistics and methodologies within the cost report
  • Learn cost reporting tactics to improve Medicare cost-based reimbursement as well as unintentional compilation practices that decrease Medicare cost-based reimbursement, usually without the CAH knowledge
  • Learn the PPS settlement worksheets to identify settlement amount reasonableness and key data points for accurate PPS hospital settlements

QHR Health 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:

Refunds and Cancellations:

QLI may cancel or reschedule a classroom program at its discretion due to unforeseen circumstances. We will use reasonable efforts to notify registrants of the cancellation or rescheduled date at least thirty (30) days in advance of the original classroom program. If QLI cancels or reschedules a classroom program, the registrant is entitled to:

  • a full refund of the registration fee, or
  • the right to transfer the registration fee to the rescheduled classroom program date

You must notify customer service immediately should you be unable to attend a classroom program in which you are registered.

Customer service may be reached at (615) 371-7979 or from 8:30am – 4:30pm CST, Monday through Friday.

Due to the nature of live events, refunds of registration fees are not covered.

QLI will not be responsible for refunding any travel related expenses in the event of a classroom program cancellation or rescheduling.

We do offer the following:


  • If your cancellation is received fifteen (15) business days or more prior to the start of the event, we will provide a credit to your account to be used on any future eligible classroom event. This credit will be good for up to one (1) year from the date of cancellation.
  • Participant(s) who cancel less than fifteen (15) business days prior to the event start date will be considered “no shows” and will not be eligible for a registration fee credit.


  • Select QLI classroom programs are included in QHR Health affiliate contracts and may not have up-front registration fees. However, QHR Health affiliates will be assessed a fee of $150.00 for cancellation within fifteen (15) business days of the event. This fee is charged to offset the hard costs incurred by QLI for meals and course materials.
  • For classroom programs which incur paid registration fees for affiliated attendees, the same non-affiliated attendee cancellation policy applies.

For more information regarding refunds, program cancellation policies and/or grievances please contact our client support team at (615) 371-4842 or

We are pleased to share that QHR Health enjoys negotiated rates at two local hotels for our classroom events. The rates are first-come, first-served and based on availability.

Drury Plaza Hotel Nashville Franklin
1874 West McEwen Drive, Franklin, TN 37067
Telephone: (615) 771-6778

To reserve at the QHR Health discount rate please follow this link: Book QHR Health Drury Plaza Hotel Nashville Franklin. Reservations may also be made by calling 1-800-325-0720 and referring to the Corporate Code 322799.

Hilton Franklin Cool Springs
601 Corporate Centre Drive, Franklin, Tennessee 37067
Telephone: (615) 771-1995

To reserve at the QHR Health discount rate please follow this link: Book QHR Health Hilton Franklin Cool Springs