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Traditional MedicareAdministrativeLow impact

Properly Reporting Related Party Cost

Mississippi Medicaid (DOM)·Geriatrics·Claims & Billing
Effective date
Not stated
We identified it
Jun 21, 2026
Days to comply
—

Summary

An OIG audit found that skilled nursing facilities (SNFs) are not properly reporting related-party costs on Medicare cost reports, resulting in overstated costs. CMS is expected to implement new guidance and enhanced MAC review requirements by mid-2025.

Action Required

Action needed
Monitor for upcoming CMS guidance expected by June 2025 regarding related-party cost reporting requirements for SNFs. This primarily affects skilled nursing facilities rather than typical medical billing practices.

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