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Cost Report Submission Information

Cost reports may be submitted electronically through the CMS MCReF secure portal or via mail.

  • MCReF Submissions: Information about MCReF can be found on the CMS website at Medicare Cost Report Electronic Filing (MCReF) | CMSExternal Website  or the CGS website at MCReF Cost Report Submissions (cgsmedicare.com).
  • Mailed submissions:

    All initial and amended cost reports, reopening requests, and any other correspondence related to the Provider Audit and Reimbursement department should be sent to the following address:

    J15 —HHH Audit and Reimbursement
    CGS Administrators, LLC
    PO Box 20015
    Nashville, TN 37202

    Please note that all documentation sent to this address will be imaged. Please ensure that the provider name, number, and other relevant information are clearly identified. We also encourage providers to submit as much information as possible in electronic format.

  • As Filed Overpayment Checks:

    If cost report you are submitting shows an amount due to the Medicare Program, you must submit the amount due at time of cost report filing to the address below. Also, if you are submitting a check in response to a Provider Audit and Reimbursement letter, please send it to the following lockbox address:

    CGS J15 HH and H Region B
    PO Box 957124
    St. Louis, MO 63195-7124

If you have any questions or concerns, please e-mail J15CRACCEPTANCE@cgsadmin.com or call  Home Health and Hospice Customer Service at (877) 299-4500 - select Option 1.

Updated: 12.06.22

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