PROGRAM SUMMARY
For cost reporting periods ending on or after January 1, 2026, subsection (d) hospitals paid under the Medicare inpatient prospective payment system (IPPS) must report the median Medicare Advantage (MA) negotiated charges by Medicare Severity Diagnosis Related Group (MS-DRG) on their Medicare cost reports. This complex requirement relies heavily on accurate machine-readable file (MRF) data and detailed discharge-level analysis.
In this webinar, a Forvis Mazars healthcare expert will break down what must be reported, which teams should be involved, and the operational steps needed to comply. Attendees will gain practical guidance to help prepare workflows, scrutinize data sources, and align finance and revenue integrity operations.
LEARNING OBJECTIVES
Upon completion of this program, participants will be able to:
- Identify the specific MA negotiated rate data elements required for cost report submission and determine their hospital’s reporting scope.
- Prepare an end-to-end workflow to calculate the discharge-weighted median payor-specific negotiated charges (PSNCs), including sourcing, validating, and cross-walking data.
- Employ cross-functional processes to help support accurate MRF maintenance, internal controls, and prompt preparation for the 2026 reporting requirement.
WHO SHOULD ATTEND
This program is designed for hospital leaders and staff responsible for Medicare cost reporting, which may include:
- Chief Financial Officers and Finance Staff
- Chief Compliance Officers
- Revenue Cycle Leaders and Staff
- Patient Financial Services Leaders and Staff