How to Submit Documentation for S-10 Audits

Published 10/11/2021

Data from Worksheet S-10 of the Medicare cost report may be utilized by CMS for various purposes, including the Disproportionate Share Data (DSH) uncompensated care payment adjustment. Audits of Worksheet S-10 are conducted to provide reasonable assurance that program payments are based on Medicare regulations, reimbursement principles, and cost reporting instructions (CMS Provider Reimbursement Manual, Publication 15-2Chapter 40 [ZIP, 5.38 MB], Section 4012). 

During the S-10 Audit, Palmetto GBA may request additional documentation from the provider to support data reported on the Medicare cost report. The following are the options for submitting the Worksheet S-10 documentation:

  • Palmetto GBA eServices Portal is the preferred method for submitting supporting documentation. The portal submissions are typically received within 24 hours of submission. Providers should retain the Document Control Number (DCN) that they are provided with when submitting the support, as this number might be necessary later if submission issues arise.
    • For details on how to access and register for the eServices portal, review our article on How to Submit Audit Documentation in eServices (JJ Part A, JM Part A)
    • The audit department does not maintain the eServices portal. For assistance with submitting documentation, providers are referred to the help tab of the eServices homepage, or you may also contact eServices.Support@PalmettoGBA.com.
  • Supporting documentation may also be submitted via email. Ensure your provider number and fiscal year end are included in the email correspondence
  • Supporting documentation may be submitted in electronic format on a CD or flash drive via USPS or courier service.

 

U.S. Mail Delivery

Courier Delivery

Jurisdiction J

Palmetto GBA
Provider Audit (AG-390)
ATTN: JJ S-10 Audit
PO Box 100307
Columbia, SC 29202-3307

Palmetto GBA - Columbia
Provider Audit (AG-390)
ATTN: JJ S-10 Audit
2300 Springdale Drive, Bldg ONE
Camden, SC 29020-1728

Jurisdiction M

Palmetto GBA
Provider Audit (AG-320)
ATTN: JM S-10 Audit
PO Box 100144
Columbia, SC 29202-3144

Palmetto GBA - Columbia
Provider Audit (AG-320)
ATTN: JM S-10 Audit
2300 Springdale Drive, Bldg ONE
Camden, SC 29020-1728