What we do

Cost Report Audit & Attest

Cost reporting plays a critical role in Medicare and Medicaid reimbursement. We support federal and state agencies in auditing, reviewing, and validating cost reports to promote accurate reimbursement, regulatory compliance, and financial accountability across health care programs.

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Health Care Cost Report
Auditing & Reimbursement 

Accurate cost reporting is essential to ensuring appropriate reimbursement, regulatory compliance, and financial transparency across health care programs. Medicare and Medicaid cost reports play a critical role in rate setting, settlement processes, and supplemental payment programs. 

As a national leader in audit services to state Medicaid agencies and to the Centers for Medicare & Medicaid Services (CMS), Myers & Stauffer processes more than 12,000 provider cost reports annually. We bring a combination of expertise in institutional and non-institutional provider reimbursement, health care cost analysis, and oversight of cost-based payment structures. 

Supporting Medicare & Medicaid Cost Reporting 

We perform our work on behalf of federal and state agencies, providing independent, objective support for cost report oversight, reimbursement accuracy, and regulatory compliance. We provide comprehensive support across the full cost report lifecycle for both Medicare and Medicaid programs, including: 

  • Audit and attest services for cost reports. 
  • Risk assessments and analytics. 
  • Rate setting and reimbursement analysis. 
  • Database management and reporting. 
  • Appeals and litigation support. 
  • Other consulting services. 
  • Web-based Medicaid and Medicare cost report collection and acceptability review. 

Cost Reporting Expertise for Government Programs

Our professionals bring extensive experience supporting Medicare and Medicaid cost reporting requirements, reimbursement methodologies, and audit processes for a wide range of provider types and payment systems.

Medicare Cost Report Auditing 

Medicare cost reports are governed by federal regulations and standardized reporting requirements. We support federal and state agencies in overseeing Medicare cost reporting, navigating complex reimbursement methodologies, and ensuring compliance with CMS requirements. Our Medicare-focused services include: 

  • Appeals and regulatory support.
  • Reimbursement settlement analysis. 
  • Support for desk reviews and audit processes. 
  • Interpretation of Medicare reimbursement
  • Audit and review of Medicare cost reports (e.g., hospital, skilled nursing facility [SNF], home health). 
Medicaid Cost Report Auditing & Rate Setting 

Medicaid cost reporting varies by state and is often tied to rate setting, supplemental payments, and program financing mechanisms. We assist state agencies in overseeing Medicaid cost reporting and rate setting, including analysis of provider-submitted cost data and reimbursement methodologies. Our Medicaid-focused services include: 

  • Cost report review and audit for institutional and non-institutional providers. 
  • Rate setting and payment methodology development. 
  • Upper Payment Limit (UPL) calculations and compliance. 
  • Section 1115 waiver support. 
  • Certified Public Expenditure (CPE) methodologies and reconciliations. 
  • Cost reporting for local government entities and administrative claiming programs. 
  • Managed care cost analysis and reporting. 
WHY AGENCIES CHOOSE US

Deep Reimbursement Expertise

Our team combines deep reimbursement knowledge with extensive experience supporting government-sponsored health care programs. We help agencies navigate complex cost reporting requirements while delivering practical, defensible, and data-driven solutions.

Integrated Financial & Program Expertise 

Cost reporting does not operate in isolation. Our work integrates financial, operational, and program knowledge to support broader health care oversight, including connections to: 

  • Program integrity and audit activities. 
  • Managed care financing. 
  • Supplemental payment programs. 
  • Federal compliance requirements. 
Results & Outcomes 

Our cost report services support: 

  • Accurate and defensible reimbursement. 
  • Improved transparency in cost-based payment systems. 
  • Compliance with Medicare and Medicaid requirements. 
  • Reduced audit risk and stronger documentation. 
  • Effective support for appeals and regulatory review.
The Transforamtive Power of Partnership

Connect With Our Team

Partner with experts who understand the complexities of health and human services programs. Let us guide your organization through the industry’s unique challenges and opportunities.

Bob Hicks, CPA
Member

Email: bhicks@mslc.com
Phone Number: 816-957-6220

Tamara Basso Bensky, CPA
Member

Email: tbensky@mslc.com
Phone Number: 410-581-4549

Mark Korpela, CFE
Principal

Email: mkorpela@mslc.com
Phone Number: 410-581-4550

Tammy Martin, CPA
Member

Email: tammym@mslc.com
Phone Number: 208-378-4100

In the Words of our Clients…

Myers & Stauffer is a trusted audit partner with extensive knowledge of Medicaid and Medicare programs and finances.  Their staff have high levels of professionalism and integrity and are reliable subject matter experts when it comes to Medicaid reimbursement.” 

Sharing Knowledge & strengthening programs

Recent Insights

We’re committed to advancing government health care through thought leadership, collaboration, and the open exchange of ideas that drive better outcomes. Explore our latest blogs, client alerts, case studies, and thought leadership to see how our expertise can support your goals.

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