Hospice FacilityCost Report

OMB 0938-0758

OMB 0938-0758

The Hospice Cost and Data Report provides for the collection of data from providers for rate evaluations for the Prospective Payment System (PPS). The data is used by CMS to update the PPS as mandated by Congress.

The latest form for Hospice FacilityCost Report expires 2021-04-30 and can be found here.


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