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costreporting.ai
Pre-launch — November 2026 cohort

Cost reports
you can defend.
Every dollar traceable.

For Medicare-certified Home Health Agencies and Hospices, the annual cost report (CMS-1728-20 or CMS-1984-14) is a settlement instrument under 42 CFR § 413.24 — every dollar must trace to a formula, every adjustment to a source, every reclassification to a worksheet cell. Mistakes don't just slow you down; they open MAC desk-review variance cycles that cost more than the report itself.

We're building a platform that classifies your trial balance, runs the deterministic step-down math, and renders a confidence-scored draft — with the rule that placed every dollar shown next to it. Your authorized representative still signs. Whether you use a CPA firm, a billing agency, or an independent consultant, the documentation standard at 42 CFR § 413.24 applies to the output regardless.

Join the November cohortSee how it works

No credit card. We'll email when the cohort opens.

See the product

See your cost report before you file it.

Upload a trial balance. Our AI classifies every account. The deterministic engine runs every formula. You review a confidence-scored draft — with the rule that placed every dollar shown next to it.

ccostreporting.ai/ Draft / FY 2025
Worksheet A · Step-downReconciled
Total cost
$6,490,489.05
Allocated
$6,490,489.05
Variance
$0.00
Low-conf cells
3 of 421
Cost centerAmountConfidenceSource
0100 · Capital · Building & Fixtures$348,512.00HighTB:L142
0200 · Capital · Movable Equipment$92,140.00HighTB:L146
0300 · Employee Benefits$1,284,392.50HighTB:L201
0400 · Administrative & General$842,118.30MediumTB:L213
0500 · Plant Operation & Maintenance$214,902.00HighTB:L218
1100 · Skilled Nursing Visits$2,118,492.00HighTB:L301
1200 · Physical Therapy$612,388.75MediumTB:L312
1300 · Occupational Therapy$483,201.40HighTB:L318
1400 · Speech Pathology$184,002.10HighTB:L324
1500 · Medical Social Services$209,840.00LowTB:L329
421 cells classified · 3 flagged for review · 0 reconciliation errorsaudit_trail · 1,892 entries
For existing providers
The regulatory ground just shifted. As of May 13, 2026, CMS paused all new Home Health and Hospice enrollment applications nationwide. Existing providers can renew and update normally — but the moratorium signals heightened scrutiny on cost-allocation accuracy and audit-risk posture for everyone already enrolled.
Initial 6-month period. CMS may extend in 6-month increments.
How it works

Three steps. You stay in control the whole time.

No black box. Every dollar in the draft shows the rule that placed it — with the source data, the worksheet cell, and the confidence score.

1

Upload

Drop in your trial balance and statistics. We accept the formats your accounting system exports — CSV, Excel, QuickBooks. No custom templates.

2

AI maps the data

Our model classifies every account to the correct worksheet cell. Cross-worksheet reconciliation runs automatically. Low-confidence cells are flagged for your review.

3

Review & sign

Walk through the draft in a confidence-scored dashboard. Adjust where needed. Your authorized representative signs and submits to your MAC — same as today.

How it works under the hood

AI classifies the trial balance.

Determinism calculates every dollar.

Every number traces back to its formula.

You sign with confidence.

The mechanic

From trial balance to settlement.

The cost report walks your finances through linked worksheets. Most preparation time is the trial-balance classification and the hand-reconciled step-down across dozens of cost centers. We change that step.

Trial balance

Your GL · QuickBooks / Sage / Excel

5100Nursing salaries
5210PT wages
5340OT supplies
6010Admin salaries

AI classification

GL account → CMS cost center

Nursing96%
PT94%
OT71%
G&A98%

Worksheet A

Direct cost by cost center

Nursing412,847
Physical Therapy186,402
Occup. Therapy23,914
G&A98,250

Worksheet B

Overhead step-down

G&A → patient care

+ 98,250.00

allocated by sq ft

Settlement

Worksheet C/D/G/H

Medicare reimbursement

$721,413

✓ Cross-worksheet reconciled

Source — your GL
Classification — AI mapping
Calculation — deterministic
Review flag — your call
Why us

Built for the work, not for the demo.

We classify with AI. We calculate with determinism. No AI output lands in a numeric column without passing through a rule-based engine first — because accuracy matters more than speed alone.

Determinism on the math

Money never touches a float. Every dollar passes through a deterministic calc engine; cross-worksheet reconciliation is a hard block, not a warning. The AI handles classification — not arithmetic.

Audit trail on every cell

Every customer-visible number has a row in the audit trail. Which source line, which rule, which confidence score. When the MAC asks, you have the receipts — with timestamps.

You stay the responsible party

We don't sign. We don't submit. Your authorized representative does — same as if you had prepared in-house. We're the tool that gets you to a confident draft faster.

What we cite

Every claim traces back to a primary source.

We don't cite “industry expertise.” We cite the regulators directly. Press mentions, customer testimonials, and conference talks surface here as they land — not before.

Primary regulatory sources cited across the site

42 CFR § 41342 CFR § 418OMB 0938-0758OMB 0938-0022CMS PRM Pub 15-2MCReF

Ecosystem we operate in

CMS

Centers for Medicare & Medicaid

OIG

Office of Inspector General

GAO

Government Accountability Office

HFMA

Healthcare Financial Mgmt Assoc

NAHC

National Assoc for Home Care & Hospice

NHPCO

National Hospice and Palliative Care Org

Press / customer coverage: appears here post-launch. We're pre-launch (November 2026 cohort) — no fake placeholder logos.
What we are — and aren't

Honest about pre-launch.

Every claim on this page is either primary-source-cited or hedged. No fabricated customer counts. No testimonials yet. When pilots ship, we'll say so.

  • noNot a CMS-approved vendor (yet). Pursuing. The MAC accepts our ECR output; full CMS-approved status is the next milestone.
  • noNot a billing platform. We do cost reports only. We integrate with whatever you use for billing.
  • noNot a CPA firm. We don't sign. We don't audit. Your authorized representative signs.
  • noNot SOC 2 or HITRUST yet. Pursuing both. Encryption at rest + in transit; least-privilege access; row-level tenant isolation since day one.
  • yesFounder-built. Both founders are engineers. We answer your emails ourselves.
  • yesOpen about pricing. When the November cohort opens, the price will be on this page. No “contact us for a quote” theatre.

Common questions

What providers ask before they sign up.

Are you a CPA firm?
No. We're a preparation tool — what AICPA calls a "nonattest service" (per Q&A 9160.29 and ET 1.295). No CPA license is required to prepare cost reports. We don't audit, compile, or review. Your authorized representative signs and submits the report; we just make the prep work faster.
Will my data be safe?
Cost reports contain aggregate provider statistics — patient-days, visit counts, FTEs, square footage — not individual patient health information (PHI). HIPAA applies less directly than to clinical systems, but we still treat your data with full security controls: encrypted storage, multi-tenant isolation, audit logging on every action.
What if the AI gets a mapping wrong?
Two safeguards. First: the AI never produces a final number. AI classifies (e.g., "Skilled Nursing Salaries" → Nursing cost center); deterministic math calculates. Second: every mapping has a confidence score. Anything below threshold gets flagged yellow for you to confirm or override. Zero yellows = you've signed off on every uncertain mapping personally.
What if there's an error in my filed report?
Two answers. (1) Pre-submission: our self-audit is designed to run the same CMS Level I edit checks CMS runs at MCReF before you ever see a final draft. We can't guarantee how MAC review will go — every filing is different and final acceptance is between you and your contractor — but the same edit specs that gate MAC intake gate our draft delivery. (2) Post-submission: every number in your filed report has a complete audit trail. If CMS flags anything during desk review or NPR, you can trace it back to the source document and respond with documentation, not guesses.
What happens if my report gets rejected at MAC intake?
The most common rejection causes (allocation-sequence errors, worksheet-reconciliation failures, sentinel-value handling) are designed to run through our cross-worksheet reconciliation gate before draft delivery. We use the same edit specifications your MAC uses, but we won't tell you a report "will pass" — every contractor handles its own review, and your authorized representative is the one who signs and submits. What we will say: if rejection happens despite the gate, the audit trail gives you the documentation to fix and resubmit within the 30-day cure window under 42 CFR §413.24(f)(5)(iii) — no guessing about what failed.
Does the May 13, 2026 enrollment moratorium affect us?
If you're an existing Medicare-certified HHA or Hospice, your enrollment is unaffected — renewals and routine updates process normally. The moratorium pauses NEW provider applications plus re-enrollments triggered by 36-month-rule equity changes (which affects active M&A transactions). For existing providers, the moratorium raises the stakes on cost-report accuracy as one of the few surfaces where MAC review happens. The initial period is 6 months; CMS may extend in 6-month increments. We track CMS guidance via primary sources (CMS press releases plus Holland & Knight legal analysis).
Which CMS forms do you support?
CMS-1728-20 (Home Health Agency) and CMS-1984-14 (Hospice) at launch. Additional forms (CMS-2552-10 hospital, CMS-2540-10 SNF, CMS-224-14 FQHC) are on the roadmap for later releases.
How do I file the report once it's prepared?
We're designed to export in a format compatible with CMS-approved filing software (HFS, Med-Calc, Besler, Manis & Ryan). Your authorized representative submits via MCReF. We're working toward direct filing capability in a future release.
How much does it cost?
Pricing is being finalized for the November cohort. We'll share exact numbers with waitlist members first. As a reference: most HHAs and hospices today pay $1,200 to $2,500 a year (small providers) scaling to tens of thousands (larger or more complex ones) — whether they use a CPA firm, a billing agency, or an independent consultant. Our pricing will be lower and more predictable, and — unlike every incumbent we've benchmarked — we'll publish it up front. No "contact sales for a quote."
How is your pricing different from a CPA firm or billing agency?
Three differences. (1) Published, not opaque. Every cost-report prep vendor we've surveyed hides pricing behind "request a quote" or "contact sales." We'll publish per-report tiers visibly on this page. (2) Per-year software subscription, not per-engagement professional-services billing. You pay the same amount whether your filing is straightforward or messy. (3) No annual-contract lock-in. If we don't earn your renewal, you leave with your data.
When can I use it?
We're targeting November 2026 for the first cohort — calendar-year FY filers preparing for the May 31, 2027 deadline. Join the waitlist to get early access and priority onboarding.
I have a non-calendar fiscal year. Does that matter?
Not for waitlist signup. We're designed to support any fiscal year end; the November cohort is just the first wave because most providers are calendar-year filers. Off-calendar filers will be onboarded in subsequent waves before their own deadlines.
What if my data is in QuickBooks (or Homecare Homebase, or Axxess)?
At launch we accept any trial balance as a CSV or Excel export. Direct API integrations with QuickBooks Online, Axxess, and other major platforms are on the v1.5 roadmap.
Who's behind costreporting.ai?
A focused two-person team. We're independent, bootstrapped, and laser-focused on this single problem. We're not a CPA firm diversifying into software, and we're not a 50-product platform tacking this on. This is the only thing we do. Full bios and LinkedIn profiles on the team page (link in footer once the page ships — published before the November cohort opens).

More questions? team@costreporting.ai

From the team

“We're building cost-report preparation for HHA and Hospice CFOs because the existing options are opaque, expensive, or both. We're pre-launch — no customer testimonials yet because we have no customers yet. That's the truth, and it shapes everything else about how we communicate.”

What you'll see here post-launch

  • Pilot-customer stories with verified outcomes (August 2026+)
  • Time-to-prep + accuracy data from real filings
  • Press mentions when they exist

What we won't do

  • Fake testimonials with stock-photo avatars
  • Claim audit-pass guarantees we can't enforce
  • Hide pricing behind a “contact sales” wall

Two-person founding team · bootstrapped · independent

team@costreporting.ai →

Join the November 2026 cohort.

Built for HHA and Hospice CFOs, controllers, and reimbursement specialists preparing for the May 31, 2027 deadline. Limited cohort — we sequence carefully so the first reports we touch are reports we can stand behind.

No credit card. We email when the cohort opens.