SNFdata - Worksheet Formats

Worksheet Formats

Worksheet formats are based on information supplied by the Centers for Medicare and Medicaid Studies (CMS). Forms and instructions can be downloaded from the CMS website and are presented here as a convenient reference.

Worksheet S-2 Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Identification Data	form	instructions
Worksheet S-3, Part I Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Statistical Data	form	instructions
Worksheet S-3, Part II SNF Wage Index Information	form	instructions
Worksheet S-7, Part I NHCMQ Demonstration Statistical Data	form	instructions
Worksheet S-7, Part II PPS Statistical Data	form	instructions
Worksheet S-7, Part III PPS Statistical Data	form	instructions
Worksheet S-7, Part IV Prospective Payment for SNF Statistical Data	form	instructions
Worksheet A Reclassification and Adjustment of Trial Balance of Expenses	form	instructions
Worksheet A-7 Analysis of Changes During Cost Reporting Period in Capital Asset Balances	form	instructions
Worksheet A-8 Adjustments to Expenses	form	instructions
Worksheet B, Part I Cost Allocation - General Service Costs	form	instructions
Worksheet B, Part II Allocation of Capital - Related Costs	form	instructions
Worksheet B-1 Cost Allocation - General Service Costs	form	instructions
Worksheet C Ratio of Cost to Charges for Ancillary Outpatient Cost Centers	form	instructions
Worksheet D, Part I Apportionment of Ancillary and Outpatient Cost and Reduction of Therapy Cost	form	instructions
Worksheet D, Part II Apportionment of Vaccine Cost and Costs for Interns and Residents	form	instructions
Worksheet E, Part III Calculation of Reimbursement Settlement - SNF Reimbursement Under PPS	form	instructions
Worksheet G Balance Sheet	form	instructions
Worksheet G-2, Part I Statement of Patient Revenues and Operating Expenses	form	instructions
Worksheet G-3 Statement of Revenues and Expenses	form	instructions

Why Should I Subscribe?

Detailed online reports and online Medicare cost reports provide important measurements of skilled nursing facilities and their performance:

~ Facility Characteristics

~ Financial Reports (5 yrs)

~ Utilization/RUGs (5 yrs)

~ Financial Indicators (5 yrs)

~ Individual cost reports

What Do I Get?

Look up facilities using the powerful search tool. In addition to the free SNF Profile and mapping you get other important information. You have access to detaied reports showing facility characteristics, financial statements, RUG statistics, and financial indicators. Level 2 subscribers also have unlimited access to indiividual SNF cost reports.

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