- Prepare and Submit a Cost Report
- Prepare and Submit a Cost Report
- Prepare and Submit a Cost Report
- Get Your PS&R Reports
- Get Your PS&R Reports
- Request a Due Date Extension
- Request a Due Date Extension
- Direct Graduate Medical Education/Indirect Medical Education
- Disproportionate Share Hospital
- File an Amended Cost Report
- File an Amended Cost Report
- Submit Supporting Documentation
- Submit Supporting Documentation
- Submission of a Medicare Cost Report Reopening Request
- Medicare Bad Debts
- Review Bad Debt Listing
- Request an Accelerated Payment
- Request an Interim Rate Adjustment
- Request an Interim Rate Adjustment
- PS&R/Cost Report Crosswalk
- Provider Based Determinations
- Hospice Cap
- Electronic Cost Report Exhibit Templates
- FY 2026 Hospital Wage Index Development Timetable Final
- Hospice Cap Self-Reporting
- FY 2025 Occ Mix Hospital Letter Final
- FY 2026 PUF Release
- Receive and Respond to Audit and Reimbursement Correspondence via NGSConnex
- Submitting a Medicare GME Affiliation Agreement
- Home Office Cost Statements
Request an Interim Rate Adjustment
When requesting an interim rate adjustment, it's important to submit your interim financial data to National Government Services using the appropriate Interim Rate Review Documentation Request Form. These forms are designed to capture important information relevant to PPS payments (including DSH and IME). Forms are also available for hospitals reimbursed under the TEFRA, as well as CAHs.
Select the appropriate interim rate documentation form, complete and return to the appropriate Medicare Audit and Reimbursement address for your facility.
- CAH Interim Rate Review Documentation Request Form
- Hospice PIP Documentation Form
- Hospital Interim Rate Documentation Form
- TEFRA Hospital Interim Rate Documentation Form
Please share your thoughts about your experience with our Audit and Reimbursement process.
Revised 4/11/2024
Cost Report Contacts:
IL, MN, WI, All FQHC:
Bobbi Jo Luciano, Manager
Office: South Portland, ME
Sharon Townsend
Office: South Portland, ME
J6_Cost_Report_Filing@anthem.com
Mailing Address for USPS:
National Government Services
Attn: Cost Report Unit
P.O. Box 7040
Indianapolis, IN 46207-7040
FEDEX or courier only:
National Government Services, Inc.
Attn: Cost Report Unit
220 Virginia Ave
Indianapolis, IN 46204
Form(s) you'll need:
Cost Report Contacts:
CT, ME, MA, NH, NY, RI, VT:
Bobbi Jo Luciano, Manager
Office: South Portland, ME
Sharon Townsend
Office: South Portland, ME
JK_Cost_Report_Filing@anthem.com
Mailing Address for USPS:
National Government Services
Attn: Cost Report Unit
P.O. Box 7040
Indianapolis, IN 46207-7040
FEDEX or courier only:
National Government Services
Attn: Cost Report Unit
220 Virginia Ave
Indianapolis, IN 46204
Form(s) you'll need: