Pennsylvania Code & Bulletin

• No statutes or acts will be found at this website.

The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 54 Pa.B. 1806 (March 30, 2024).

55 Pa. Code § 1187.77. Auditing requirements related to cost report.

§ 1187.77. Auditing requirements related to cost report.

 (a)  The Department will audit acceptable cost reports filed to verify nursing facility compliance with:

   (1)  This chapter.

   (2)  Chapter 1101 (relating to general provisions).

   (3)  The schedules and instructions attached to the MA-11.

 (b)  A nursing facility shall make financial and statistical records to support the nursing facility’s cost reports available to State and Federal representatives upon request.

 (c)  The Department will conduct audits in accordance with auditing requirements set forth in Federal regulations and generally accepted government auditing standards.

 (d)  The Department will conduct an audit of each acceptable cost report with an end date of June 30, 1996, or December 31, 1996, and thereafter within 1 year of the Department’s acceptance of the cost report. This subsection will not apply if the nursing facility is under investigation by the Attorney General.

 (e)  The auditor will certify to the Department the allowable cost for the nursing facility to be input into the NIS database for use in determining the median costs.

 (f)  A nursing facility that has certified financial statements, Medicare intermediary audit reports with adjustments and Medicare reports for the reporting period shall submit these reports with its cost report, at audit or when available.

No part of the information on this site may be reproduced for profit or sold for profit.

This material has been drawn directly from the official Pennsylvania Code full text database. Due to the limitations of HTML or differences in display capabilities of different browsers, this version may differ slightly from the official printed version.