Get Fillable Cms224 14

The Fillable CMS-224-14 form is essential for Federally Qualified Health Centers (FQHCs) to report their costs and ensure reimbursement from Medicare. This guide provides clear and structured instructions to assist users in completing the form accurately and efficiently online.

Follow the steps to successfully complete your CMS-224-14 form:

1. Click the 'Get Form' button to access the CMS-224-14 form and open it for editing.
2. Begin by completing Part I of Worksheet S, ensuring to fill in the cost report status and indicate if the report is submitted electronically or manually.
3. In Part II of Worksheet S, provide necessary certifications by an officer or administrator confirming the accuracy of the report.
4. Proceed to fill out Worksheet S-1 by entering the identification data for your FQHC, including site name, CCN, and designation.
5. Continue to Worksheet S-2, providing required data regarding any changes in ownership or participation in Medicare during the reporting period.
6. Fill out Worksheet S-3, entering detailed statistical data regarding medical and mental health visits along with intern and resident contributions.
7. Complete Worksheet A, ensuring to categorize expenses appropriately under the correct cost centers as indicated.
8. Add any necessary reclassifications on Worksheet A-1, specifying adjustments accurately.
9. Make adjustments to expenses via Worksheet A-2, following instructions closely for cost reporting conformance.
10. Finalize by reviewing Worksheets B and B-1 for calculations and transferring totals to corresponding lines in Worksheet E for reimbursement settlements.
11. Ensure all sections are completed thoroughly before saving, downloading, or printing the filled-out form.
12. Utilize the options to save your changes, download the completed form, print it for records, or share it with the necessary parties.

Complete your CMS-224-14 form online today to ensure timely reimbursement and compliance.