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UMass Chan Medical School
Westborough, Massachusetts
Source: UMass Chan Medical School careers · View original posting
From UMass Chan Medical School's posting. “We” and “our” refer to the employer.
Overview
Under the general direction of the Assistant Director or designee, the Cost Reporting and Rate Setting Manager is responsible for all cost reporting activities for the unit as well as calculating and setting payment rates for health care services. This entails the management of data analysts and consultants along with the production of work papers supporting the yearly CMS and state cost reports for 18 state operated facilities. The different report types are listed below.
The manager is also responsible for overseeing rate setting activities for those facilities as well as recommending Medicaid claiming rates for community based programs including those for rehabilitative and home and community based services authorized by an approved Medicaid Waiver.
The Provider Rate and Administrative Cost Reimbursement Unit (PRACRU) within the Center for Health Care Financing produces the quarterly Medicaid administrative claims on behalf of the University and completes Medicare/Medicaid cost reports, calculates rates for community based programs, computes unreimbursed costs for state hospitals, and recommends upper payment limits for certain state owned services.
These responsibilities are performed on behalf of the Executive Office of Health and Human Services (EOHHS) in accordance with an interagency agreement.
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