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New MA Cost Report Requirements: What Hospitals Need to Know

May 5, 2026

Beginning in 2026, subsection (d) hospitals must report the median Medicare Advantage (MA) negotiated charges by Medicare Severity Diagnosis Related Group (MS-DRG) on their Medicare cost reports. This complex requirement relies heavily on accurate machine-readable file (MRF) data and detailed discharge-level analysis. In this webinar, healthcare professionals from Forvis Mazars will break down what must be reported, which teams should be involved, and the operational steps needed to comply. Attendees will gain practical guidance to help prepare workflows, scrutinize data sources, and align finance and revenue integrity operations.

Learning Objectives

Upon completion of this program, participants will be able to:

  • Identify the specific MA negotiated rate data elements required for cost report submission and determine their hospital’s reporting scope.
  • Prepare an end-to-end workflow to calculate the discharge-weighted median payor-specific negotiated charges (PSNCs), including sourcing, validating, and cross-walking data.
  • Employ cross-functional processes to help support accurate MRF maintenance, internal controls, and prompt preparation for the 2026 reporting requirement.

Presenter(s)

Alicia Faust, Andy Page, Victoria Duffel

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