IN ORDER TO PROCESS YOUR INFORMATION AND RETURN YOUR COMPLETED COST REPORT BY THE DUE DATE, WE MUST RECEIVE ALL THE INFORMATION BELOW BY 2 WEEKS BEFORE THE DUE DATE.
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There are some important changes this year that you should be aware of:
- The form CMS-339 includes notes at the beginning of each section stating which providers are required to complete that section. We've attached a copy of the latest version as well as a sample completed copy to use as a reference.
- We have made several changes to our Submission Template:
- S-1 – the address has been split out (address field no longer includes city and state – they have separate cells)
- S-1 – there are cells for entering the days and units reported on your PS&R. This data is compared to your patient management system data showing the relationship of the data. We would anticipate that your data will exceed the PS&R by no more than 5%.
- S-1 – lines 17 and 18 should be completed if applicable to your organization
- A-7 – all categories of capital assets are now included – automobiles and trucks and minor equipment
- A-7 – lists of the various types of assets to be included under each group are added
- A-8 – new schedule for reporting adjustments to expenses
- A-8-1 – new schedule for reporting transactions with related parties
- B-1 – we have seen an increase in the number of our clients who have organization owned/leased and operated vehicles. If your organization has owned or leased vehicles, please complete column 4 reporting mileage by discipline.
- G-2 – this schedule has been expanded to list each month separately.
Click Here to view our webinar for submitting cost report information. Enter webinar@mvi.com when prompted for Email Address.
The following items are necessary for the completion of your cost report. Please send each of these items to us in the format specified.
- Complete and email the attached Submission Template. Data needs to be entered into the yellow cells only. We have added more detailed pop-up notes to the S-1 tab of this template to answer more of the most common questions. We have also added areas for entry of information from your PS&R.
- Save your Year to Date Period 12 General Ledger Trial Balance to an Excel file and email a copy of it to us. For clients using CYMA, we recommend you run the Ledgers/Summary by Period report. Export it to an Excel file using the data only format and email it to us.
- If your Trial Balance does not include a detailed breakdown of salaries and mileage by discipline (Nursing, Aide, Social Work, Spiritual Counseling, Bereavement, Volunteer Coordinator, Fundraising, Marketing, etc.) as well as breakdowns between Administrators, Directors, and Supervisors, please provide additional schedules.
- If you are using an MVI Chart of Accounts, you do not need to provide this additional detail.
- Email or fax to us a copy of your Income Statement and Balance Sheet which matches the Year to Date Period 12 General Ledger Trial Balance.
- If this Medicare Cost Report is the first prepared by MVI, please email or fax to us a Balance Sheet from the last day of the prior cost reporting period and a copy of the prior cost report.
- Lastly, please log onto the CMS website and request your PS&R in both PDF and Excel formats, and email them to us.
Please remember that we are here to answer your questions and aid you in any way that we can. Do not hesitate to give us a call, as our success will be based largely on communication. We look forward to working with you and submitting the report as early as possible.
Send your information to:
Email: costreport@multiviewinc.com
Fax: 828-698-5884
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