US · guidance
CMS Pub. 100-04, ch. 4, § 10.11.1
Requirement to Calculate CCRs for Hospitals Paid under
OPPS and for CMHCs
(Rev. 2296, Issued: 09-02-11, Effective: 10-01-11, Implementation: 10-03-11)
Medicare contractors must calculate overall cost-to-charge ratios for hospitals paid under
OPPS and for CMHCs using the provider‘s most recent full year cost reporting period,
whether tentatively settled or final settled, in accordance with the instructions in
§§10.11.7, 10.11.7.1, 10.11.8, 10.11.8.1 or 10.11.9 as applicable. The contractor must
calculate a provider overall CCR whenever a more recent full year cost report becomes
available. If a CCR is calculated based on the tentatively settled cost report, the
contractor must calculate another overall CCR when the cost report is final or when a
cost report for a subsequent cost reporting period is tentatively settled, whichever occurs
first. If a CCR is based on a final settled cost report, the contractor must calculate the
CCR when a cost report for a subsequent cost reporting period is tentatively settled.
History
(Rev. 2296, Issued: 09-02-11, Effective: 10-01-11, Implementation: 10-03-11)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
3653aa83e549bf33d8d5eb1f150861c81629ea2fb32a2c3a4b449fb1d7630e99
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.