Medicare Financial Management Manual (Pub. 100-06), Ch. 8 § 120.5
Distribution of the Audited Home Office Cost Statement and
120.5 – Distribution of the Audited Home Office Cost Statement and
Results of the Audit
(Rev. 27, 12-19-03)
At the completion of its audit, the responsible/designated contractor distributes the
audited home office cost statements and the audit adjustment report to all the contractors
that service the providers within the chain.
The results of the audit of the home office cost statement are binding upon all the
servicing contractors. The servicing contractors rely upon this audit to identify the
allowable portion of the home office costs that can be included in their providers’ cost
reports. They use the audited home office cost statements to make any necessary
adjustments to the home office costs claimed by those provider(s) before they make a
final settlement of the related cost reports. If at the request of the servicing contractor,
you as the responsible/designated contractor audited the provider’s records that are
maintained at the home office for specific issues outside the general audit of the home
office cost statement, forward the following information related to those issues to the
servicing contractor.
• The scope of the audit work performed,
• The schedule of audit adjustments with full explanation why they are necessary
and their effect on the provider’s cost report, and
• The results of discussions with home office personnel pertaining to the audit
findings.
All audit adjustments proposed by the responsible/designated contractor pertaining to the
audit of provider records maintained at the home office are binding upon the servicing
contractor. If the servicing contractor has any questions concerning the audit or its
results, it should resolve the issues with the responsible/designated contractor before the
settlement of the provider’s cost report. However, when a disagreement cannot be
resolved, the servicing contractor may request the responsible contractor to obtain an
interpretation from CMS.
The responsible/designated contractor is reimbursed by the servicing contractor for the
costs of auditing provider records maintained at the home office and for any assistance in
preparing appeal position papers.