RHC Cost Reporting

Healthcare Business Specialists prepared approximately 150 RHC cost reports annually for Independent RHCs. Mark R. Lynn, CPA has over 35 years experience working with RHCs and Dani Gilbert, CPA is a Certified Rural Health Professional as accredited by the NARHC. Our goal it to prepare your Medicare cost reports as accurately and timely as possible within the constraints of tight independent RHC budgets. The following is a link that will open our RHC Cost Reporting brochure if you are interested in more information related to cost reporting services for RHCs.

RHC Cost Reporting Brochure


RHC Cost Reporting Technical Assistance Webinar on July 30, 2019

To: RHC Community and Friends

From: Bill Finerfrock

Re: Save the Date – July 30th RHC TA Webinar on Cost Reporting

On July 30th at 2:00pm EASTERN we will be holding the next RHC TA call on RHC Cost Reporting. Our speaker, Mark Lynn, will go over key pieces of information you will need to track and collect during the course of the year in order to accurately complete your annual RHC cost report.

The information presented will be appropriate for both independent as well as provider-based RHCs.

Webinar Link: https://hrsaseminar.adobeconnect.com/rhc/

Audio Conference details

Phone Number: 888-989-6519

Access Code: 3386962

This is a free webinar and there are no restrictions on who can log into this event and you do not need to register ahead of time. If you know others who would benefit from this webinar, please feel free to share the above information.

Copies of the slides will be posted prior to the webinar and a link to the slides will be distributed at that time. If you do not download prior to the call, the slides will also be available for download after you log in.

Historically webinars on RHC operational topics such as cost reporting or billing have been very popular. While we will have a sufficient number of slots to accommodate everyone who wants to participate in this webinar, we recommend that you log into the webinar 5 – 10 minutes prior to the start time as logging in could take a few minutes due to volume.

RHC Cost Reporting for 2019

Healthcare Business Specialists prepares 150 Medicare Cost Reports every year for Independent RHCs in addition to performing numerous RHC startups, annual evaluations, and other services exclusively to Rural Health Clinics. We have over 35 years of healthcare experience and as we start our 32 season of preparing RHC cost reports, we wanted to provide the checklist of information that we need to complete the RHC Cost Report. Thank you for everyone that has returned your agreements for this year and your retainers. We appreciate that very much and look forward to receiving your information.  Here is the link to this year's cost report checklist:

On February 7, 2019, Healthcare Business Specialists conducted a webinar on the cost report changes for 2018 including electronic fling of cost reports. Here is the Youtube webinar and PDF of the presentation:

RHC Cost Reporting Webinar on December 11, 2018

On December 11, 2018, Healthcare Business Specialists presented a webinar on RHC Cost Reporting and planning for cost report filing for our RHC clients. Mark Lynn, CPA and Dani Gilbert, CPA presented this webinar to assist clients with meeting important cost reporting deadlines. The following is a recording of our webinar on Cost Reporting for Rural Health Clinics - Year-End Planning presented on 12/11/2018. We discuss cost reporting timelines, bad debt deadlines, base year cost reports, counting RHC visits, information needed to file a timely and accurate cost report and instructions on getting set up on EIDM to obtain your P S and R.

Help in getting your P S and R


To assist your cost report preparation, the Provider Statistical and Reimbursement (PS&R) summary report can be obtained from the CMS website: https://psr-ui.cms.hhs.gov/psr-ui.

 It is your responsibility to obtain the reports directly from the PS&R system. In an effort to ensure all providers have signed up for the PS&R system successfully, we are requiring an EIDM helpdesk ticket in order to process PS&R requests for FYEs 2009 and after. If you have not signed up for an EIDM account, please visit the following link for information on obtaining access:


You must complete the registration process in order to pull your own PS&R going forward. Also, please ensure you log into the PS&R system every 60 days so you can change your password and keep the account active.