Medicare Financial Management Manual (Pub. 100-06), Ch. 8 § 120.6
Standards for Issuance of an Audit Report for a Home Office
120.6 – Standards for Issuance of an Audit Report for a Home Office
(Rev. 60, Issued: 11-26-04, Effective: 10-01-04, Implementation: 01-24-05)
The responsible/designated contractor will issue an audit report if it audits a home office
cost statement. While it is appropriate to use the general format of the sample “Form of
Report on Audit of Medicare Cost Report” (see Exhibit VII in §170 of this chapter) for a
home office cost statement, the contractor should modify the language of the audit report
to reflect this type of entity. For example, a home office is not a provider of Medicare
services receiving direct payment from the Medicare program. Therefore, the reference
to payment amounts in the second and fourth paragraphs of the sample audit report is
inappropriate under these circumstances. Similarly, the contractor should change
references to "cost report" and “provider” to "home office cost statement" and “home
office”. Furthermore, the contractor must substitute the following elements in the audit
report for home office in place to similar elements related to the cost report.
• If the report relates to a home office cost statement, a statement that GAS
standards require the contractor to plan and perform the audit to obtain
reasonable assurance about whether the Medicare home office cost
statement is prepared in accordance with Medicare laws, regulations, and
instructions, and
• A statement that the Medicare home office is responsible for compliance
with Medicare laws, regulations, and instructions.