Requirement to Calculate CCRs for Hospitals Paid under

10.11.1 - Requirement to Calculate CCRs for Hospitals Paid under OPPS and for CMHCs (Rev. 2296, Issued: 09-02-11, Effective: 10-01-11, Implementation: 10-03-11) Medicare contractors must calculate overall cost-to-charge ratios for hospitals paid under OPPS and for CMHCs using the provider‘s most recent full year cost reporting period, whether tentatively settled or final settled, in accordance with the instructions in §§10.11.7, 10.11.7.1, 10.11.8, 10.11.8.1 or 10.11.9 as applicable. The contractor must calculate a provider overall CCR whenever a more recent full year cost report becomes available. If a CCR is calculated based on the tentatively settled cost report, the contractor must calculate another overall CCR when the cost report is final or when a cost report for a subsequent cost reporting period is tentatively settled, whichever occurs first. If a CCR is based on a final settled cost report, the contractor must calculate the CCR when a cost report for a subsequent cost reporting period is tentatively settled.