Accurate, compliant Medicare cost reports are essential to maintaining certification and reimbursement eligibility. At Orsak Langner & Barthel PLLC, we assist Medicare-certified hospices and other healthcare providers across Texas with preparing and submitting Medicare cost reports that meet CMS requirements and audit standards.

Medicare requires certified providers — including hospices, home health agencies, and skilled nursing facilities — to submit annual cost reports detailing expenses, revenues, and patient utilization. These complex filings play a critical role in compliance and can directly affect your current and future Medicare payments.

We help clients:

• Understand and compile required data
• Allocate direct and indirect costs properly across services
• Prepare and review cost report schedules and worksheets
• Meet annual submission deadlines to avoid penalties
• Respond to auditor or intermediary questions after submission

With high scrutiny from CMS and potential for payback, it’s crucial that your Medicare cost report is filed correctly the first time.

• Medicare-certified hospices operating throughout Texas
• Home health agencies and small healthcare providers with limited internal accounting resources
• Newly certified providers filing their first reports
• Organizations flagged for past compliance issues or audit risk

Based in Houston and serving providers across the state, Orsak CPA’s helps reduce your administrative burden while ensuring your reports are accurate, compliant, and aligned with your reimbursement goals.

Medicare cost reports are one of the most detail-intensive compliance requirements in healthcare finance. These annual reports document the costs associated with providing Medicare-covered services and determine how much reimbursement your organization is entitled to retain — or return.

Mistakes, late filings, or inconsistencies can lead to audit flags, payment holds, or even revocation of your Medicare certification.

At Orsak Langner & Barthel PLLC, we help you avoid those risks with experienced, CPA-led preparation support.

• Data Collection & Organization: We work with your internal team or bookkeeper to gather financial, payroll, census, and operational data required for the cost report.
• Proper Cost Allocation: We ensure costs are allocated correctly between Medicare-allowable and non-allowable services. This includes labor, facilities, administrative overhead, and contracted services.
• Preparation of Schedules & Worksheets: We complete all required CMS cost report schedules — including Worksheets A, B, C, D, and more — according to the provider type.
• Audit Readiness Review: We double-check all calculations and documentation to ensure the report can stand up to auditor or MAC (Medicare Administrative Contractor) review.
• Timely Electronic Submission: We file your report through CMS-approved software and confirm delivery and acceptance to avoid late penalties.

Whether you operate a hospice, home health agency, or another Medicare-participating facility, we tailor our process to your size, complexity, and state of internal records.

• You’re a newly certified Medicare provider and need help preparing your first report
• Your existing staff lacks Medicare-specific accounting expertise
• You’ve had issues with past filings, denials, or audit flags
• You’re worried about compliance or reimbursement exposure
• You’re facing a filing deadline and need to move fast and accurately

At Orsak Langner & Barthel PLLC, we bring clarity and control to one of the most regulated areas in healthcare finance. Our Houston-based CPA team is highly experienced with Medicare rules, cost allocation logic, and CMS submission protocols — and we work quickly, carefully, and confidentially to protect your certification and payments.

With Orsak CPAs, you get:

• Expert guidance through every step of the cost reporting process
• Accurate, timely reports that reduce audit risk
• A CPA team that understands both Medicare and your business
• Peace of mind when it matters most