Medicare Cost Report Training

cost report 

2016 Cost Report Training

Dates and Locations to be Announced Soon

The DHG Healthcare Hospital Cost Report Training is a comprehensive program providing an in-depth presentation of the Medicare cost report and the key factors that drive reimbursement. By experiencing a combination of hands-on exercises, lectures and class discussions, participants will not only expand their knowledge, but also enhance their ability to assess unique reimbursement issues within their organizations.

Training is divided into two sections and is designed so participants can either attend both levels the same week or attend only one level based on their specific needs and experience. The training is aimed not only towards individuals responsible for preparing the cost report, but also those involved in gathering support for the cost report or utilizing information from completed reports.

Our Level II training features PPS and CAH Tracks. The PPS Track will include Medicare DSH, wage index, and IME/GME, while the CAH Track will focus on allowable costs, cost allocations, and optimal operational strategies. Participants can register for either track depending on their specific needs, or the schedule allows attending both if preferred. Level II also includes a general session for opportunities applicable for all hospitals including Medicare bad debts and worksheet S-10.

Level I

A rigorous, hands-on workshop covering the fundamental components of the hospital cost report and Medicare reimbursement. This focused training will include the preparation of a mock cost report.

Level II

An intensive seminar covering intermediate reimbursement issues and is designed for individuals who have completed Level I or have some experience with the cost report.

Speakers Photo Hall, David
Partner, DHG Healthcare

David Hall is a Healthcare Consulting partner with Dixon Hughes Goodman LLP, the largest CPA and advisory firm based in the Southern United States.  He is based in the Winston-Salem, NC office and has been with the firm since 2002.David is part of the firm’s hospital reimbursement practice. Read more.

Speakers Photo Messick, Trent
Partner, DHG Healthcare

Trent is responsible for the DHG Healthcare reimbursement group, Trent directs the group in serving clients and developing the group’s technical skills and capabilities. Trent has approximately 20 years of experience in the healthcare industry working with hospitals, long-term care facilities, home health agencies, rehabilitation agencies and other healthcare entities. He has spent the past 16 years with Dixon Hughes Goodman as part of the DHG Healthcare practice. Read more.

Speakers Photo Sanders, Jason

With more than ten years of experience in the healthcare industry, Jason focuses primarily in the regulatory environment, assisting clients with Medicare and Medicaid reimbursement services and other related consulting projects. His healthcare background has allowed him to work with a variety of healthcare entities from large urban hospital systems to small rural facilities. His healthcare experience includes handling Medicare and Medicaid Cost Reporting, Wage Index Analysis, Occupational Mix Surveys, DSH, Bad Debts, Medical Education and Third Party Accounting.

Course Objectives
Level I

  • Learn the history of the Medicare program and how it reimburses hospitals.
  • Understand the purpose of the cost report and its role in determining payments.
  • Analyze reimbursement under the prospective payment system.
  • Participate in the preparation of a mock hospital cost report.
  • Consider special designations in the Medicare program and how hospitals may benefit from them.
  • Review the key factors in hospital reimbursement including Medicare bad debts, DSH and the wage index.

Level II

  • Understand potential issues and opportunities with Medicare bad debts.
  • Assess the new reporting requirements related to Worksheet S-10 and charity care.  
  • Learn how to reconcile the Medicare cost report settlement and understand the various settlement components.
  • Identify opportunities for hospitals to impact the key factors in PPS reimbursement including Medicare DSH, IME/GME, and the wage index. (PPS Track)
  • Evaluate the unique challenges for Critical Access Hospital cost reporting. (CAH Track)

Offering CPE in Specialized Knowledge (pending approval):

  • Level I – up to 15 hours
  • Level II – up to 15 hours
  • Level II, attending PPS Track or CAH Track – up to 10 hours
  • Level II, attending PPS Track and CAH Track – up to 15 hours 


  • Level I - None
  • Level II - Completed Level I or have some exposure to preparing the cost report.

Program Level

  • Level I - Beginner
  • Level II - Intermediate

Delivery Method

  • Level I - Live Group Session
  • Level II - Live Group Session

Program Content

An in-depth presentation of the Medicare cost report and the key factors that drive reimbursement.

Advance Preparation

  • Level I - None
  • Level II - None

Who Should Attend

  • Chief Financial Officers
  • Controllers
  • Reimbursement Directors, Managers, and Staff
  • Accounting and Finance Staff
  • Cost and Budget Staff
  • Consultants


  • David Hall, CPA, CHFP
  • Trent Messick, CPA
  • Jason Sanders

Dixon Hughes Goodman LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through the web site:

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