Get 06-03 Form Cms-2552-96 3690 (cont.) - (hcris) - Data For ...

Filling out the 06-03 FORM CMS-2552-96 3690 (Cont.) can seem daunting, but with the right guidance, it can be a straightforward process. This guide provides detailed instructions on how to complete each section of the form online, ensuring that users have the information they need to navigate the process effectively.

Follow the steps to successfully complete the form online.

1. To begin, locate and select the ‘Get Form’ button, which will allow you to access the form to fill it out.
2. Once the form is open, start by entering the provider number and component number at the top of the form. Make sure these numbers are accurate as they are essential for identification.
3. Indicate whether you are completing the form for a hospital or a subprovider by selecting the appropriate checkbox.
4. Fill in the reporting period dates in the 'Period' section, specifying the start date and end date of the reporting period.
5. Proceed to the 'Worksheet L' section. Here, you will allocate federal amounts for capital hospital specific rate payments and other relevant financial details. Carefully follow the provided instructions for each line item to ensure accuracy.
6. For each payment calculation method you are utilizing (Fully Prospective Method, Hold Harmless Method, Cost Method), fill in the necessary details as outlined in the form.
7. After completing all sections, review your entries for consistency and correctness. Ensure that all calculations are accurate based on the guidelines provided in the form instructions.
8. Finally, save your changes. You will have the option to download, print, or share the completed form as needed.

Start completing your documents online today!