--- title: "Transmittal 18: Revisions to Medicare Cost Report Form 2552-10" description: CMS released Transmittal 18 which includes changes to Medicare Cost Report filings, requirements for Exhibits serving as standardized logs with patient-level detail. image: https://public.govdataservices.com/hubfs/Closeup%20of%20form%20being%20filled.jpeg --- [Skip to content](https://public.govdataservices.com/the-scoop/transmittal-18-revisions-to-medicare-cost-report-form-2552-10#main-content) Close - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) SEARCH [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [![GDSlogo\_avenir\_2](https://public.govdataservices.com/hs-fs/hubfs/GDSlogo_avenir_2.png?width=1194&height=340&name=GDSlogo_avenir_2.png)](https://public.govdataservices.com/) - [Services](https://public.govdataservices.com/services-page) - [Medicare DSH](https://public.govdataservices.com/medicare-dsh) - [SSI Realignment](https://govdataservices-21378692.hs-sites.com/medicare-dsh#SSI) - [340B MA Underpayments](https://public.govdataservices.com/340b-medicare-advantage-underpayments) - [Medicare Bad Debt](https://public.govdataservices.com/medicare-bad-debt) - [Worksheet S-10 Uncompensated Care](https://public.govdataservices.com/s-10) - [Transfer DRG](https://public.govdataservices.com/transfer-drg) - [Medicare ID & Shadow Billing](https://public.govdataservices.com/medicare-id-shadow-billing) - [MBI ID Finder](https://public.govdataservices.com/mbi-id-finder) - [MIDaS Insurance ID](https://public.govdataservices.com/midas-insurance-id) - [Annual Wellness Visit](https://public.govdataservices.com/annual-wellness-visit) - [Eligibility & Other Services](https://public.govdataservices.com/eligibility-and-other) - [Bundle & Save](https://public.govdataservices.com/bundle-and-save) - [Demo](https://public.govdataservices.com/demo-diagnostics-review) - Resources - [Links](https://public.govdataservices.com/links) - [Blog](https://public.govdataservices.com/the-scoop) - [Contact Us](https://public.govdataservices.com/contact-us) [Client Login](https://www.govdataservices.com/gdswebsite/DesktopDefault.aspx) [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) Mar 20, 2023, 11:30:00 AM 1 min read # Transmittal 18: Revisions to Medicare Cost Report Form 2552-10 [Previous](https://public.govdataservices.com/the-scoop/instructions-relating-to-section-1115-waiver-days-in-dsh-calculation) [Next](https://public.govdataservices.com/the-scoop/transmittal-19-revisions-to-medicare-cost-report-form-2552-10-including-exhibit-2a) On December 29, 2022, CMS released Transmittal 18 which includes, among other changes to Medicare Cost Report filings, requirements for Exhibits serving as standardized logs with patient-level detail. Government Data Services is prepared to comply with the requirements when creating deliverables for our clients including data elements to be incorporated in Medicare Cost Report worksheets and Exhibits for projects including DSH, Medicare Bad Debt, and S-10/Uncompensated Care.   The instructions for Exhibit 3A are unclear and inconsistent with instructions for Worksheet S-2, Part I, line 24, and Worksheet S-3, Part I.   GDS is in communication with CMS regarding the inconsistencies.   The new instructions apply to Medicare Cost Reports beginning on or after October 1, 2022.   Here is a [link to Transmittal 18](https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Transmittals/r18p240i) and the revised Medicare Cost Report 2552-10 instructions. ![avatar](https://public.govdataservices.com/hs-fs/hubfs/chriscusimano.jpg?width=290&name=chriscusimano.jpg) #### [Chris Cusimano](https://public.govdataservices.com/the-scoop/author/chris-cusimano) ## RELATED ARTICLES ### [Chris Cusimano Mar 27, 2023, 10:30:00 AM 1 min read Transmittal 19: Revisions to Medicare Cost Report Form 2552-10 including Exhibit 2A On Friday, March 24, 2023, CMS issued Transmittal 19 with revisions to instructions for Medicare Cost Report Form 2552-10. ... Start Reading](https://public.govdataservices.com/the-scoop/transmittal-19-revisions-to-medicare-cost-report-form-2552-10-including-exhibit-2a) ### [Chris Cusimano Nov 16, 2023, 10:55:39 AM 2 min read ACTION ITEMS: 340B Underpayments In August, GDS blogged about our work on dissecting, quantifying, and reconciling the 340B underpayment remedy into beneficiary ... Start Reading](https://public.govdataservices.com/the-scoop/action-items-340b-underpayments) ### [Chris Cusimano Aug 6, 2024, 2:59:29 PM 4 min read Change Request 13413 - Impacts SSI Realignments Change Request 13413 with Transmittal R12747OTN (12747) was released July 26, 2024, with an Effective Date of July 31, 2024. ... 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All rights reserved - [Site Use Agreement](https://public.govdataservices.com/terms-of-use) - [Confidentiality and Privacy](https://public.govdataservices.com/privacy) ```json { "@context" : "http://schema.org", "@type" : "Organization", "knowsLanguage" : "en", "name" : "", "url" : "https://public.govdataservices.com/the-scoop/transmittal-18-revisions-to-medicare-cost-report-form-2552-10" } ``` ```json { "@context" : "http://schema.org", "@type" : "BlogPosting", "abstract" : "CMS released Transmittal 18 which includes changes to Medicare Cost Report filings, requirements for Exhibits serving as standardized logs with patient-level detail.", "author" : { "@type" : "Person", "name" : "Chris Cusimano" }, "dateModified" : "May 2, 2023 9 PM", "datePublished" : "March 20, 2023 3 PM", "headline" : "Transmittal 18: Revisions to Medicare Cost Report Form 2552-10", "image" : "https://21378692.fs1.hubspotusercontent-na1.net/hubfs/21378692/Closeup%20of%20form%20being%20filled.jpeg", "inLanguage" : "en", "keywords" : "[Medicare Bad Debt, Worksheet S-10/Uncompensated Care, Legal News, Disproportionate Share Hospital (DSH), Medicare Cost Report, Inpatient Prospective Payment System]", "mainEntityOfPage" : { "@type" : "WebPage" }, "name" : "Transmittal 18: Revisions to Medicare Cost Report Form 2552-10", "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "" }, "name" : "" }, "text" : "On December 29, 2022, CMS released Transmittal 18 which includes, among other changes to Medicare Cost Report filings, requirements for Exhibits serving as standardized logs with patient-level detail. Government Data Services is prepared to comply with the requirements when creating deliverables for our clients including data elements to be incorporated in Medicare Cost Report worksheets and Exhibits for projects including DSH, Medicare Bad Debt, and S-10/Uncompensated Care. The instructions for Exhibit 3A are unclear and inconsistent with instructions for Worksheet S-2, Part I, line 24, and Worksheet S-3, Part I. GDS is in communication with CMS regarding the inconsistencies. The new instructions apply to Medicare Cost Reports beginning on or after October 1, 2022. 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