N.J. Admin. Code § 10:52-5.6

Current through Register Vol. 56, No. 11, June 3, 2024

Section 10:52-5.6 - Financial elements reporting/audit adjustments

(a) The aggregate Current Cost Base is developed from Financial Elements reported to the Division and includes:

1. Costs related to Medicaid/NJ FamilyCare direct patient care as defined in N.J.A.C. 10:52-6.14;

2. Less net income from specified sources;

3. Capital facilities allowance: Capital cash requirements (as defined in 10:52-5.14 and 6.18);

(b) All reported financial information shall be reconciled by the hospital to the hospital's audited financial statement. In addition, having given adequate notice to the hospital, the Director may perform a cursory or detailed on-site review at the Division's discretion, of all financial information and statistics to verify consistent reporting of data and extraordinary variations in data relating to the development of the rates. Any adjustments made subsequent to the financial review, including Medicare audits and reviews, shall be brought to the attention of the Division by the hospital, the Department of Health, appropriate fiscal intermediary or payer, where appropriate, and shall be applied proportionately to the Schedule of Rates. All such adjustments shall be determined retroactively to the first payment on the Schedule of Rates and shall be applied prospectively.

N.J. Admin. Code § 10:52-5.6

Amended by 50 N.J.R. 1261(a), effective 5/21/2018