Contractor Numbers to be Reported on the Cost Report

As you may know, recent changes to the cost report now require chain providers to report the Fiscal Intermediary (FI) or Contractor number for the auditing intermediary of their Home Office or Related Organization Cost Statement, when applicable. The information is reported on the cost report as follows:

• Hospital (Worksheet S-2 Line 40.01, Column 2)
• SNF (Worksheet S-2 Line 54, Column 3)

If WPS is the Auditing Intermediary for your Home Office Cost Statement, please select the appropriate five-digit Contractor Number and enter it on your cost report:

Nebraska - 05401
Kansas - 05201
Iowa - 05101
Missouri - 05301

This contractor number applies to all chains/providers that were transferred to WPS after award of the Jurisdiction 5 (J5) Medicare Administrative Contract. These are known as "J5 MAC" providers. If WPS is not the auditing intermediary for your Home Office Cost Statement, you will need to determine who the appropriate contractor is and contact them for the appropriate number to enter.

Page Last Updated: Friday, 06-Nov-2009 14:04:47 CST