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Medicare Cost Report Electronic Signature

CMS has revised the regulations at 42 CFR 413.24(f)(4)(iv) so that a provider submitting an Electronic Cost Report (ECR) for a cost reporting period ending on or after December 31, 2017, may elect to electronically submit the Medicare cost report Certification and Settlement Summary page (Worksheet S) with an electronic signature. An electronic signature on Worksheet S consists of the following components:

  • The box (brackets) before the electronic certification statement MUST be checked.
  • The authorized official's signature may be an actual signature, a typed name or a stamped signature.
  • The authorized official's title.
  • The date of the signature.

If you choose to submit your cost report electronically through MCReF, the electronic signature must be completed, which includes checking the box with the certification statement. Failure to sign your cost report electronically will cause a rejection when submitting your cost report through MCReF.

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