Cost Reporting for Medicaid & School Districts

Cost Reporting for School Districts (e.g., Medicaid SHARS Program)

We help school districts prepare and submit annual cost reports required for the School Health and Related Services (SHARS) Medicaid program. Our services include:

Data Collection: Gathering payroll, transportation, and direct medical service data.
Time Study Compliance: Assisting with RMTS (Random Moment Time Study) validation.
Cost Allocation: Allocating direct and indirect costs in line with federal and state guidelines.
Report Preparation: Compiling and submitting the annual SHARS cost report to the Texas Health and Human Services Commission (HHSC).
Audit Support: Assisting during post-submission audits or desk reviews.

One-Time Fee Range

small to medium district

$1,500 – $4,000

Annual service if needed regularly

$1,200 – $3,000

Cost Reporting for Nursing Homes (e.g., Medicaid or Medicare)

We assist long-term care facilities with preparing accurate Medicaid or Medicare cost reports, which are crucial for reimbursement and regulatory compliance.

Financial Data Analysis: Reviewing general ledger, trial balance, and payroll.
Cost Categorization: Allocating direct care, dietary, housekeeping, and administrative costs.
Depreciation Schedules: Preparing allowable depreciation for fixed assets.
Medicaid/Medicare Form Completion: Completing CMS Form 2540 or state equivalents.
Submission and Compliance: Ensuring timely and accurate submission to CMS/state agencies.
Audit Response: Providing documentation and responses if reports are audited.

One-Time Fee Range

small to mid-sized nursing home

$2,500 – $6,000

Annual service

Often bundled with tax or accounting services if ongoing

Cost Reporting for Medicaid & School Districts

Cost Reporting for School Districts (e.g., Medicaid SHARS Program)

Cost Reporting for Nursing Homes (e.g., Medicaid or Medicare)

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