Get Daily Bed Return Form

Completing the Daily Bed Return Form online is an essential task for licensed facilities to report bed surcharges accurately. This guide provides a clear and systematic approach to help users navigate through each section of the form with ease.

Follow the steps to successfully complete and submit the form online.

1. Click ‘Get Form’ button to access and open the Daily Bed Return Form in your preferred online editor.
2. Enter the reporting period by filling in the beginning and ending dates in mm/dd/yy format. Ensure accuracy for proper record-keeping.
3. Provide your federal employer identification number (FEIN) and New Mexico combined report system (CRS) number in their respective fields.
4. Input the name and mailing address of your health care business. This information is crucial for processing the return correctly.
5. Indicate the number of facilities you are reporting for in the specified section.
6. For line 1, enter the total number of occupied bed days for the reporting period based on your Daily Census Reports, excluding unoccupied beds.
7. On line 2, input the effective rate of the daily bed surcharge, which you can find in the provided rate table.
8. Calculate the surcharge by multiplying the number from line 1 by the rate on line 2 and enter it on line 3.
9. If there will be a penalty for late submission, calculate it and enter it in line 4. If applicable, follow the defined penalty calculation method.
10. If applicable, calculate and enter the interest amount on line 5, using the formula provided for late payments.
11. Finally, sum the amounts from lines 3, 4, and 5 to determine the total due and enter it on line 6.
12. Check the box if this is an amended return, sign and date the document, and provide your phone number where requested.
13. Once all fields are correctly filled out, save your changes, and choose to download, print, or share the completed Daily Bed Return Form as needed.

Complete your Daily Bed Return Form online accurately to ensure compliance with state reporting requirements.