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					VENDOR LISTING FOR CMS'S COST REPORTS AS OF THE LATEST TRANSMITALS VENDOR CMS (Free Software for ECR) Ernst & Young LLP CONTACT Steve Bayless Pam Gaboury Mary Bromelmeier Linda Spehn Ken Paynter Bruce Thompson Chuck Briggs TEL. NO. (402)351-6921 (860) 659-4300 x228 (216)583-1753 (216)583-2480 (216)583-1091 (303)932-9629 (916)686-8152 FAX NO. ADDRESS P.O. Box 1602 Omaha, NE 68101 1300 Huntington Building 925 Euclid Avenue Cleveland, OH 44115-1405 COST REPORTS 222 (T5)), 1728(T12),265(T7) 1984(T6) & 2540 (T11) 265(T7), 287(T3), 1728(T12), 1984(T6), 2540(T11) & 2552(T14) 265-94 (T7) 222(T5), 265(T7), 287(T3), 1728(T12),1984(T6), 2088 (T7)& 2540 (T11)2552(T14) 2540 (T11) & 1728(T12) 216 (T3), 222(T5), 265(T7), 287(T3),1728(T12),1984(T6), 2088(T7), 2540(T11) & KYMAGA Applications Mark Swofford Patrick Manis Dr. Robert Waller MD Arthur Stein (828-749-2163 (805)523-7364 (805)523-3308 59 East Pacolet Street Saluda, North Carolina 28773 P.O. Box 5003 Woodland Hills, CA 91365-5003 200 First Street S.W. Rochester, MN 55095 1845 Walnut St. Philadelphia, PA 19103 Ramsey Badre (708)698-0040 (708)698-0091 1320 North Elliot Ave. Park Ridge, IL 60068 Solomon Melamed John Singer Eric Swanson Patrick Manis Donald Peck Linda Mitchell Nancy Lory (303)233-5143 (903)758-3271 312-297-6498 (805)523-7364 (877)913-2678 (800) 544-5188 (812) 945-8001 (303)233-5147 (903)758-7401 312-297-6227 (805)523-3308 (513)729-4683 12055 W. Second Place Denver, CO 80228 1511 Judson Rd., P.O. Box 2189 Longview, TX 75606 225 North Michigan Avenue Chicago, Illinois 60601 P.O. Box 5003 Woodland Hills, CA 91365-5003 8234 Winton Road, suite 200 Cincinnatti, OH 45231 1728(T12) 287(T3), 1728(T12) & 2540(T11) 1728 (T12) 2552(T14) 1984 (T6) 1728(T12) 287(T3) 287(T3), 222, 1728(12), 1984(T6), 2088(T7) & 2540(T11) 222(T5) & 1728(T12)

(216)622-0197 (216)622-0197

mary.bromelmeier@ey.com
Gaia Healthcare Systems, LLC

www.gaiasoftware.com
Health Financial Systems

(916)685-1699

8109 Laguna Blvd. Elk Grove, CA 95758

chuck@hfssoft.com
Hospital Management Services Lanny Hawkinson Don Fry (714)992-1525 (818)227-6936 (714)992-0620 (818)227-6047

211 E. Imperial Hwy Suite 102 Fullerton, CA 92635 355 S. Grand Avenue, Suite 2000 Los Angeles, CA 90071

LannyHawk@hmsoffice.com
KPMG LLP

Dfry@KPMG.com

mark@kymaga.com
Manis & Ryan

pmanis@manisandryan.com
Mayo Foundation FOR THEIR USE ONLY Optimizer Systems

(215)665-3990

(215) 665-3993

osi@optimizer.com
Ramsey Badre & Associates, Inc.

rbadre@comcast.net
FOR THEIR USE ONLY Progressive Proivider Services of CO

solomon@ppsassistant.com
Singer, Stringer & Co., LLP

chrissingercpa@cs.com
Blue Cross & Blue Shield Plan eric.swanson@bcbsa.com Manis & Ryan

1728 (T12) 222(T5)

pmanis@manisandryan.com
Cost Reportd.Com

don@costreports.com
Vital Healthcare Solutions (VitalWorks) * lmitchell@vitalhealthcaresolitions.com

VENDOR LISTING FOR CMS'S COST REPORTS AS OF THE LATEST TRANSMITALS VENDOR Ernst & Young LLP CONTACT Mary Bromelmeier Linda Spehn Ken Paynter Chuck Briggs Don Fry TEL. NO. (216)583-1753 (216)583-2480 (216)583-1091 (916)686-8152 (818)227-6936 FAX NO. (216)622-0197 (216)622-0197 (916)685-1699 (818)227-6047 ADDRESS 1300 Huntington Building 925 Euclid Avenue Cleveland, OH 44115-1405 8109 Laguna Blvd. Elk Grove, CA 95758 355 S. Grand Avenue, Suite 2000 Los Angeles, CA 90071 COST REPORTS

mary.bromelmeier@ey.com
Health Financial Systems

2552-96 T14 2552-96 T14 2552-96 T14

chuck@hfssoft.com
KPMG LLP

Dfry@KPMG.com

VENDOR LISTING FOR CMS'S COST REPORTS AS OF THE LATEST TRANSMITALS VENDOR CMS (Free Software for ECR) Ernst & Young LLP CONTACT Rick Thill Pam Gaboury Mary Bromelmeier Linda Spehn Ken Paynter Chuck Briggs Lanny Hawkinson Don Fry Arthur Stein Solomon Melamed TEL. NO. (402)351-4088 (860) 659-4300 x228 (216)583-1753 (216)583-2480 (216)583-1091 (916)686-8152 (714)992-1525 (818)227-6936 (215)665-3990 (303)233-5143 FAX NO. ADDRESS P.O. Box 1602 Omaha, NE 68101 1300 Huntington Building 925 Euclid Avenue Cleveland, OH 44115-1405 8109 Laguna Blvd. Elk Grove, CA 95758 211 E. Imperial Hwy Suite 102 Fullerton, CA 92635 355 S. Grand Avenue, Suite 2000 Los Angeles, CA 90071 1845 Walnut St. Philadelphia, PA 19103 12055 W. Second Place Denver, CO 80228 COST REPORTS 2540-96

(216)622-0197 (216)622-0197 (916)685-1699 (714)992-0620 (818)227-6047 (215) 665-3993 (303)233-5147

mary.bromelmeier@ey.com
Health Financial Systems

2540-96 2540-96 2540-96 2540-96 2540-96 2540-96

chuck@hfssoft.com
Hospital Management Services

LannyHawk@hmsoffice.com
KPMG LLP

Dfry@KPMG.com
Optimizer Systems

osi@optimizer.com
Solomon Healthcare Consultants

solomon@ppstherapy.com

VENDOR LISTING FOR FORM HCFA-1728-94 (T12)(Home Health Agency Cost Report)

VENDOR CMS (free software for ECR) Vital Healthcare Solutions (VitalWorks) *

CONTACT Pam Gaboury Steve Bayless Linda Mitchell Nancy Lory Mary Ann Bromelmeier Chuck Briggs

lmitchell@vitalhealthcaresolitions.com
Ernst & Young LLP (microHOMEPAK)

TEL. NO. (860) 659-4300 x228 402-351-6921 (800) 544-5188 (812) 945-8001 cell (502) 741-3294 (216) 861-2083

FAX NO. 402-662-7023

(216) 622-0197

mary.bromelmeier@ey.com
Health Financial Systems (MCRS/PC-MICRO) (916) 686-8152 (916) 685-1699

ADDRESS 655 Winding Brook Drive, 2nd Floor Glastonbury, CT 06033 4585 Bedford Drive Evans, GA 30809 4629 Pain Keehler Road New Albany, IN 47150 1200 Skylight Office Tower 1660 West Second St. Cleveland, OH 44113-1454 8109 Laguna Blvd. Elk Grove, CA 95758 211 East Imperial Highway, Suite 102 Fullerton, CA 92835 355 S. Grand Avenue, Suite 2000 Las Angeles, CA 90071-1568 P.O. Box 5003 Woodland Hills, CA 91365-5003 1845 Walnut St. Philadelphia, PA 19103 1320 North Elliot Avenue Park Ridge, IL 60068 999 Eighteenth Street, Suite 3350 Denver, CO 80202 1127 Judson Rd., P.O. Box 2189, Suite 111 Longview, TX 75601

COST REPORT 1728-94 (T12)

1728-94 (T12)

1728-94 (T12)

chuck@hfssoft.com
Hospital Management Services (HMS/UDS) Lanny Hawkinson (714) 992-1525 (714) 992-0620

1728-94 (T12)

LannyHawk@hmsoffice.com
KPMG LLP (KPMG Compu-Max Micro Systems) Don Fry (818) 227-6936 (818) 227-6047

1728-94 (T12)

dfry@kpmg.com
Manis & Ryan (Spirit of 1728-94) Optimizer Systems (Micro-LASH) ** Patric V. Manis Susan Stein (805) 523-7364 (215) 665-3982 (805) 523-3398 (215) 665-3993

1728-94 (T12) 1728-94 (T12)

osi@optimizer.com
Ramsey Badre & Associates (Micro Systems) * + ^ Salazar & Solomon (MED-CALC SYSTEMS) * Ramsey Badre Solomon Melamed (847) 698-0040 (303) 233-5143 (847) 698-0091 (303) 233-5147

1728-94 (T12) 1728-94 (T12)

solomon@ppsassistant.com
Singer & Associates, P.C. (Singer & Associates, P.C.) ** Chris Singer (903) 758-3271 (903) 758-7401

1728-94 (T12)

chrissingercpa@cs.com

1728-94 (T12)

* Approved for core worksheets only. Approval for subprovider worksheets is precluded until a new test case is issued. ** Approved for core worksheets and K series worksheets only. Approval for subprovider worksheets is precluded until a new test case is issued. + Approved for printed worksheets only, not ECR file creation. ^ Approved for in-house (vendor) use only.

file: hhavends.xls file updated: 9/8/2004

VENDOR CMS (Free Software for ECR) Ernst & Young LLP

VENDOR LISTING FOR HOSPICE'S COST REPORTS AS OF THE LATEST TRANSMITALS #6 FOR COST REPORTING PERIODS ENDING ON OR AFTER DECEMBER 31, 2004 CONTACT TEL. NO. FAX NO. ADDRESS Steve Bayless (402)351-4248 P.O. Box 1602 Pam Gaboury (860) 659-4300 x228 Omaha, NE 68101 Mary Bromelmeier (216)583-1753 (216)622-0197 1300 Huntington Building Linda Spehn Ken Paynter Chuck Briggs Don Fry Mark Swofford Arthur Stein (216)583-2480 (216)583-1091 (916)686-8152 (818)227-6936 (828-749-2163 (215)665-3990 (215) 665-3993 (216)622-0197 (916)685-1699 (818)227-6047 925 Euclid Avenue Cleveland, OH 44115-1405 8109 Laguna Blvd. Elk Grove, CA 95758 355 S. Grand Avenue, Suite 2000 Los Angeles, CA 90071 59 East Pacolet Street Saluda, North Carolina 28773 1845 Walnut St. Philadelphia, PA 19103

COST REPORTS 1984 1984

mary.bromelmeier@ey.com
Health Financial Systems

1984 1984 1984 1984

chuck@hfssoft.com
KPMG LLP

Dfry@KPMG.com
KYMAGA Applications

mark@kymaga.com
Optimizer Systems

osi@optimizer.com

VENDOR CMS Free Software Health Financial Systems

VENDOR LISTING FOR CMHC COST REPORTS AS OF THE LATEST TRANSMITALS T-7 FOR COST REPORTING PERIODS ENDING ON OR AFTER March 31, 2005 CONTACT TEL. NO. FAX NO. ADDRESS Pam Gaboury (860) 659-4300 x228 655 Winding Brook Drive, 2nd Floor Steve Bayless 402-351-6921 402-662-7023 Glastonbury, CT 06033 Chuck Briggs (916)686-8152 (916)685-1699 8109 Laguna Blvd. Don Fry Arthur Stein (818)227-6936 (215)665-3990 (818)227-6047 (215) 665-3993 Elk Grove, CA 95758 355 S. Grand Avenue, Suite 2000 Los Angeles, CA 90071 1845 Walnut St. Philadelphia, PA 19103

COST REPORTS 2088-92 (T7) 2088-92 (T7) 2088-92 (T7) 2088-92 (T7)

chuck@hfssoft.com
KPMG LLP

Dfry@KPMG.com
Optimizer Systems

osi@optimizer.com

VENDOR CMS (Free Software for ECR) Ernst & Young LLP

VENDOR LISTING FOR ESRD COST REPORTS AS OF THE LATEST TRANSMITALS T-7 FOR COST REPORTING PERIODS ENDING ON OR AFTER DECEMBER 31, 2004 CONTACT TEL. NO. FAX NO. ADDRESS Steve Bayless (402)351-6921 P.O. Box 1602 Pam Gaboury (860) 659-4300 x228 Omaha, NE 68101 Mary Bromelmeier (216)583-1753 (216)622-0197 1300 Huntington Building Linda Spehn Ken Paynter Chuck Briggs Bruce Thompson Don Fry (216)583-2480 (216)583-1091 (916)686-8152 (303)932-9629 (216)622-0197 (916)685-1699 925 Euclid Avenue Cleveland, OH 44115-1405 8109 Laguna Blvd. Elk Grove, CA 95758

COST REPORTS 265-94 (T7)

mary.bromelmeier@ey.com
Health Financial Systems

265-94 (T7) 265-94 (T7) 265-94 (T7)

chuck@hfssoft.com
Gaia Healthcare Systems, LLC

www.gaiasoftware.com
KPMG LLP

(818)227-6936

(818)227-6047

355 S. Grand Avenue, Suite 2000 Los Angeles, CA 90071 265-94 (T7)

Dfry@KPMG.com

VENDOR LISTING FOR CMS'S COST REPORTS AS OF THE LATEST TRANSMITALS T-3 VENDOR Ernst & Young LLP CONTACT Mary Bromelmeier Linda Spehn Ken Paynter Chuck Briggs TEL. NO. (216)583-1753 (216)583-2480 (216)583-1091 (916)686-8152 FAX NO. (216)622-0197 (216)622-0197 (916)685-1699 ADDRESS 1300 Huntington Building 925 Euclid Avenue Cleveland, OH 44115-1405 8109 Laguna Blvd. Elk Grove, CA 95758 COST REPORTS

mary.bromelmeier@ey.com
Health Financial Systems

287-92 T-3 287-92 T-3 287-92 T-3

chuck@hfssoft.com Mayo Foundation For their use only
KPMG LLP Don Fry Arthur Stein Solomon Melamed (818)227-6936 (215)665-3990 (303)233-5143 (818)227-6047 (215) 665-3993 (303)233-5147

355 S. Grand Avenue, Suite 2000 Los Angeles, CA 90071 1845 Walnut St. Philadelphia, PA 19103 12055 W. Second Place Denver, CO 80228 287-92 T-3 287-92 T-3 287-92 T-3

Dfry@KPMG.com
Optimizer Systems

osi@optimizer.com
Progressive Proivider Services of CO

solomon@ppsassistant.com

VENDOR LISTING FOR FORM HCFA-222-92 (T7)(RHC/FQHC)) FOR COST REPORTING PERIODS ENDING BEFORE 03/31/2005 VENDOR CMS Free Software Health Financial Systems (MCRS/PC-MICRO) CONTACT Pam Gaboury Steve Bayless Chuck Briggs TEL. NO. (860) 659-4300 x228 402-351-6921 (916) 686-8152 FAX NO. 402-662-7023 (916) 685-1699 ADDRESS 655 Winding Brook Drive, 2nd Floor Glastonbury, CT 06033 8109 Laguna Blvd. Elk Grove, CA 95758 355 S. Grand Avenue, Suite 2000 Las Angeles, CA 90071-1568 1845 Walnut St. Philadelphia, PA 19103 COST REPORT 222-92 T-7

chuck@hfssoft.com
KPMG LLP (KPMG Compu-Max Micro Systems) Don Fry (818) 227-6936 (818) 227-6047

222-92 T-7

dfry@kpmg.com
Optimizer Systems (Micro-LASH) Susan Stein (215) 665-3982 (215) 665-3993

222-92 T-7

osi@optimizer.com

222-92 T-7

VENDOR LISTING FOR CMS'S COST REPORTS AS OF THE LATEST TRANSMITALS T-3

VENDOR KPMG LLP

CONTACT Don Fry

TEL. NO. (818)227-6936

FAX NO. (818)227-6047

ADDRESS 355 S. Grand Avenue, Suite 2000 Los Angeles, CA 90071

COST REPORTS 216-94 (T-3)

Dfry@KPMG.com


				
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