2552-10 Frequently Asked Questions
We understand that there will be many questions about the 2552-10 software. We have compiled a list of the most frequently asked questions and have listed them below. Click on the questions below to see the answers.


______________________________________________________________________ ______________________________________________________________________
Yes. Your cost center structure can and should stay the same. The system and CMS allow the same cost center subscripting as was in the 2552-96. There have been a few cost centers that have become standard (CT Scan, MRI, Cardiac Catheterization, and Implantable Devices Charged to Patients) and you should now use the standard cost center rather than the subscripted line you used previously.
______________________________________________________________________
Yes, you can use your 2552-96 files as templates when you create 2552-10 files. Although the file type text box displays 2552-10 when you browse to find your 2552-96 files, you are not limited to viewing, selecting or using only 2552-10 files.
______________________________________________________________________
We have switched our data file format from an indexed file (.mcr) to an XML data file (.mcrx) format. Our File Open will display both your .mcr and .mcrx files. This new file format is more dependable and you will not get the old 1520 – Indexed File Error anymore. Our new file includes the data that was stored in our .err, .er1 and .tmp files so you will not see as many associate files as you did in the 2552-96.
______________________________________________________________________
The 2552-10 system has to be installed once with Admin rights in order to register all necessary programs. To fix the error you can re-install the 2552-10 software from the website or run regcomp21.bat. For instructions on how to run this program click the following link: http://hfssoft.com/doc/regcomp21.pdf.

There is another utility that will fix this error. It's a hot fix on our website. Click this link: http://www.hfssoft.com/iFrame/Support/ihotfix.aspx?type=3. On the hot fixes page click on the hyperlink for HF20100309CNR . You will go to the page that describes the hot fix and how to use it. Under item #2 there is a link to the HFS Component Registration Program. When you click on the link a you will be prompted to save the file W32HFSRG.exe to your computer. Click Save. Locate the folder where the file was downloaded and copy or move it to your MCRIF32 folder. Then double click on the file from within the MCRIF32 folder to run the program.
______________________________________________________________________
After applying adjustments in our Auditor feature the Adjusted cost report is created. The 2552-10 Adjusted Cost Report file extension is .mcax.
______________________________________________________________________
Line 23 on W/S A (the old line 24) for Para Med Ed Programs), should be used/subscripted as follows: 5 digit code 02300 to 02339 for Allied Health; 02340 to 02349 for Para Med Ed; 02350 to 02356 for New York A&G. You will see in our drop down screen/cost center pick list, these codes. Any line 23.00 to 23.99 can be used for Allied Health or Para Med Ed, just be sure to select the correct 5 digit code.
______________________________________________________________________
Here is the link on our website to the forms http://www.hfssoft.com/doc/R1P240F.zip; and this link is for the instructions http://www.hfssoft.com/doc/R1P240.zip.
______________________________________________________________________
The old 339 Exhibit 1 is now included in the 2552-10 as S-2, Part II. The old 339 Exhibit 6 is included in the 2552-10 as S-3, Part IV. The HFS system still has a Provider Reimbursement Questionnaire option under Tools. The Exhibit 1 is the old 339 Exhibit 2. The Exhibit 2 is the old 339 Exhibit 5 for Bad Debts. These remaining schedules are not included in the ECR file submission.
______________________________________________________________________
Highlight the entry and use CTRL+X to “Cut” it or right click and choose “Cut”.
______________________________________________________________________
The # (pound sign) is NO LONGER used for accumulated cost. You must use a negative stat code (e.g. -05, -15, -29, etc.).
______________________________________________________________________
W/S S-2 FY Dates are now input on S-2 part I, line 20 (second Tab), instead of on the initial screen. We do NOT display the calendar, but the F4 key, or a double mouse click on the cell, will bring up the calendar.
______________________________________________________________________
Yes, and with plenty of HFS Notes to help. It is context sensitive and up to date. You can use the F1 key, or HELP on the Tool Bar, to bring up the CMS Instructions.
______________________________________________________________________
The CBSA code was S-2 line 21.03, column 5, in the 2552-96 (Hospital component only). It is now S-2 part I, column 3, lines 1-19 (all components). Under TOOLS, we have a “Look-Up” table for CBSA codes.
______________________________________________________________________
W/S S-2 part I, lines 24 and 25 were added for Medicaid days. Line 24 days are used to calculate the DSH percentage on W/S E part A, line 31(L, Part I, Line 8). If no days on S-2 part I, line 24, no DSH Medicaid percentage calculation. Similarly, the days on S-2 part I, line 25 are used for the LIP calculation on E-3 part III, line 3. No days on S-2 part I, line 25, incomplete LIP calculation for the Rehab.
______________________________________________________________________
This is like the old 339 Exhibit 6. Line 24 of S-3 part IV transfers to S-3 part II, line 17, but line 17 is NOT to include the excluded areas, and S-3 part IV has no instruction or means to make these adjustments for excluded areas. We suggested to CMS that they add two columns – column 2 for adjustments, and column 3 for the net (column 1 plus/minus column 2). Then column 3, line 24, would be the transfer to S-3 part II, line 17. If CMS does NOT make this change before you file, you should do a work paper reflecting any adjustments for the excluded areas, and then show the net on S-3 part IV, so that the transfer to S-3 part II, line 17 is correct.
______________________________________________________________________
W/S S-10, lines 8, 12, and 16, can be negative ( although the CMS ECR specifications do NOT allow negative amounts), and this can result in line 19 being negative. Thus, when line 31 is calculated for the Total unreimbursed and uncompensated cost, you could be adding negative unreimbursed cost from line 19, to unreimbursed bad debts (positive amount), for line 31, which is then meaningless. We suggested to CMS that S-10, lines 8, 12, and 16, if negative, have the sign flipped (multiply by -1), and then line 19 would always be positive, and line 31 would be meaningful. If CMS does not make this instructional change before you file, you should do a work paper showing the negative changed to a positive, and a manual calculation of S-10.
______________________________________________________________________
We do not know a lot about this program, but a user sent in some helpful information that we would like to share……. http://www.hrsa.gov/opa/
______________________________________________________________________
It depends. Only 1886(d), short term acute, PPS hospitals and Critical Access Hospitals must complete and submit Worksheet S-10.
______________________________________________________________________
If you have other HFS cost report software, it should be installed in the same folder. By default the software will be installed in C:\MCRIF32. Some customers install the program on drives other than the C: drive, but the folder name should always be MCRIF32.
______________________________________________________________________
There is not a new icon. Start the 2552-10 software using the same yellow HFS cube-like icon.
______________________________________________________________________
Yes. We made numerous changes in response to new instructions we received from CMS. The changes were sent to us in a correspondence called “Flash #1”. We are also making changes in response to feedback we are getting from our customers who discover issues as they are using the software. The following Flash #1 changes are incorporated into the 2552-10 software:
  • Worksheet D-2:
    Change to use columns 2-4 from D, Part V; modified calculations to use column 6 (for lines 21 through 26.xx)
  • Worksheet E, Part B, Line 27:
    For CAH calculation of line 27, D, Part V vaccine cost is line 200, not line 73.
  • Worksheet I-5:
    Modified the calculation of line 10 by removing the "lesser of line 1 or line 2" and just using line 1.
  • Worksheet M-3:
    Line 15 . We were using column 2 for all calculations involving line 15. Also added the days prorate calculation of line 15 for overlap of 1/1/2011.
    Modified the calculation of line 16.04 (line 16 minus line 16.03 times 80% minus line 18) and 16.05 ((line 16 minus line 18 times 80%) and line 20 (line 16.05 minus line 17 minus the sum of lines 17 and 18) to match the fourth iteration of Flash #1. Modified line 19 label to remove "Less:" since this line is no longer involved in the calculations.
  • Worksheet E-1, Part II:
    Removed the word 'bed' from line 4.00.
  • Edits:
    10200I: apply to line 1 instead of line 17.
    10500A: Edit would not trigger if A-8-1 was deleted.
    10450S: Line 57 should be column 2 instead of column 1.
    10800A: Corrected text.
    10850E: Corrected text.
    12200S: Apply to line 48 instead of line 47.
    12450S: Apply to S-3, column 5 instead of column 4.
    20050G: Apply to line 28 instead of line 26.
    20700S: Removed line 17 from the edit.
    Cost Center 92.01
    Code 06201 is not 09201 for Observation Beds (distinct part).
    You can view a complete list of all changes to the software each time you update it by clicking on Help/Version Update Information.
______________________________________________________________________
Please send an email to support@hfssoft.com and attach your .mcrx file to your email. Please provide a description of the issue so that we know what to look for. You can also call us at (818) 216-6041, but we will still need you to email a copy of your data file. If you discovered a bug we will fix it and we will notify you when we release the repair in an update.
______________________________________________________________________
  • New E-1 Part II for HIT (Health Information Technology) payments. Must be identified separately and paid out of the Stimulus Bill (HR 1), as these payments are NOT Part A or Part B, Medicare Trust Funds.
  • New Column on Wkst S for HIT Settlement
  • Provider must be a “meaningful user” to receive HIT payments.
  • Penalties will be imposed in 2015 if not HIT compliant.
  • S-2 lines 167 to 169 are new for HIT (Health Information Technology) or EHR (Electronic Health Records).
  • S-2 line 169 MUST have a factor for HIT calculation on Worksheet E-1 Part II.
  • Worksheet E-1 Part II, the new HIT calculation worksheet, automatically subtracts 1149 discharges from the total on S-3 Part I, line 1, column 15.
  • S-10 line 20, column 3 is an integral Part of the HIT calculation (Total Charity Care).
  • CAH get 20% HIT bonus payment (Medicare share plus 20%, not to exceed 100%).
______________________________________________________________________
This is a new worksheet that HFS designed and added to the cost report. You are not required to complete the form. However, you should complete the form because you MAC needs your contact information, some of which used to be in the old 339 questionnaire. Any information you enter here will not be part of the regular EC file and will not be added to the HCRIS database.
______________________________________________________________________
Yes, there are.
P = Patient Days
I = Inpatient Days
O = Outpatient Days
______________________________________________________________________
1. Early Beta users who used the Template feature may have inadvertently had lines 18.01 to 18.20, added on W/S S-2 part I. This was fixed, and all you need to do is change something on S-2 (e.g. change a Y to an N), then calculate. Then change the S-2 N back to a Y.

2. Beta users who have a hospital-based HHA, will need to RE-KEY THE H WORKSHEETS. We had to make a data format change which essentially lost any input for the H series worksheets. We apologize for any inconvenience.

3. Auto Open Forms – we automatically open certain forms, based upon the W/S S-2 part I answers. If line 3 is a PPS acute care hospital, we open E part A, if line 4 is a Psych, we open E-3 part II, etc. Early in the Beta process, we inadvertently opened forms we should NOT have, so you need to Delete these. Click on FORMS, Delete, and look for the little green triangle next to the form. This indicates all “open” forms. If you see a triangle next to E part A for the Other Sub provider, this is most likely an error and should be deleted. Same for E-1 for the Other Sub provider. Also, E-3 part II for the Hospital (unless it is a free standing Psych Hospital), and E-3 part III for the Hospital (unless it is a free standing Rehab Hospital). Check all forms to make sure all “open” are correct.

______________________________________________________________________
Software

Support

More Info