Methodology for Calculation of Hospital Overall CCR for

10.11.7.1 - Methodology for Calculation of Hospital Overall CCR for Hospitals That Do Not Have Nursing and Paramedical Education Programs for Cost Reporting Periods Beginning On or After May 1, 2010, Under Cost Report 2552-10 (Rev. 2296, Issued: 09-02-11, Effective: 10-01-11, Implementation: 10-03-11) In calculating the hospital‘s costs or charges, do not include departmental CCRs and charges for services that are not paid under the OPPS such as physical, occupational and speech language therapies, clinical diagnostic laboratory services, ambulance, rural health clinic services, non-implantable DME, etc. See §10.11.10 for the location of the list of exact cost centers that shall be included in the calculation of the overall CCR. Step 1 - Determining Overall Costs: Calculate costs for each cost center by multiplying the departmental CCR for each cost center (and subscripts thereof) that reflect services subject to the OPPS from Form CMS 2552-10, Worksheet C, Part I, Column 9 by the Medicare outpatient charges for that cost center (and subscripts thereof) from Worksheet D, Part V, Columns 2, 3, and 4,. Sum the costs calculated for each cost center to arrive at Medicare outpatient cost of services subject to OPPS. Step 2 - Determining Overall Charges: Calculate charges by summing the Medicare outpatient charges from Form CMS 2552-10, Worksheet D, Part V, Columns 2, 3, and 4, (and for each cost center (and subscripts thereof) that reflect services subject to the OPPS. Step 3 - Calculating the Overall CCR: Divide the costs from Step 1 by the charges from Step 2 to calculate the hospital‘s Medicare outpatient CCR.