This paper describes technical approaches for calculating costs associated with Medicare post-acute care provider claims including long-term care hospitals (LTCHs), inpatient rehabilitation facilities (IRFs), home health agencies (HHAs), and skilled nursing facilities (SNFs) using Medicare cost report data (Healthcare Cost Report Information System or HCRIS) and claims data. Costs of providing medical care, rather than payments for medical care, are often the focus of analyses of resource utilization. Calculated costs more accurately reflect the claim level costs to providers of providing care than the payments made to providers, which often include policy adjustments (such as disproportional share payments for inpatient hospitals) that are not directly related to the costs of providing care.
Using Medicare cost reports to calculate costs for post-acute care claims
By Nicole Michelle Coomer, Melvin Ingber, Laura Ann Coots, Melissa Morley.
January 2017 Open Access Peer Reviewed
© 2021 RTI International. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Coomer, N. M., Ingber, M., Coots, L. A., & Morley, M. (2017). Using Medicare cost reports to calculate costs for post-acute care claims. RTI Press. RTI Press Publication No. OP-0036-1701 https://doi.org/10.3768/rtipress.2017.op.0036.1701