What we publish here: cost-report-adjacent regulatory updates we've read in primary sources and translated into plain English, payment-rule cycles that move the math on the worksheets, and positioning pieces that explain why we built the platform the way we did. Every regulatory claim is cited to 42 CFR, the Provider Reimbursement Manual, or the originating CMS transmittal.
For evergreen explainers, see the cost report guides.
Speed framing mistakes the deliverable. Cost allocation determines Medicare settlement; the deterministic-engine principle (AI classifies, determinism calculates) makes the math reproducible and traces every output back to its inputs. 5-item evaluation checklist for cost-report tooling: audit-trail / Decimal arithmetic / step-down methodology fidelity / reproducibility / cross-worksheet reconciliation.
Six-month nationwide moratorium per CMS press release May 13 + Federal Register notices 2026-09717 (HHA) + 2026-09718 (Hospice). Existing operations unchanged; enforcement environment intensifies. Worksheet A reclassifications, B-1 statistical bases, S-3 Part IV / S-1 Part III counts, and A-8-1 related-party disclosures most likely to face elevated scrutiny.
CMS-1828-F (HHA, +2.4% nominal / −1.3% net) and CMS-1835-F (Hospice, +2.6% base / −1.4% QRP penalty) update cost-report worksheets S-3 Part IV + D-1 for HHA and F + F-1 + S-1 Part III for Hospice — with cap outputs MAC-determined post-submission via CMS-379.