CAH CFO-Administrator Forum: Shaking the Trees – Advanced Cost Reporting

On February 21, 2023, EqualizeRCM sponsored a forum for CFOs and CEOs of Critical Access Hospitals, with Caren Puvalowski, a leading expert in Medicare Cost Reports from The Rybar Group, who discussed cost-reimbursement myths and advanced cost reporting concepts during, “Shaking the Trees: Advanced Cost Reporting.”

On February 21, 2023, Caren Puvalowski, CHFP, Rural Healthcare Reimbursement Manager presented “Shaking the Trees – Advanced Cost Reporting.”  Caren covered advanced concepts in Medicare Cost Reports, including myths about cost-based reimbursement, the role of how square footage affects the cost report, when to reopen or not reopen a Cost Report, and much more.  Participants were very impressed with the level of detail provided by Caren Puvalowski, especially as it related to reimbursement myths about cost-based reimbursement.

The 90-minute Forum also featured a roundtable discussion by CEO/CFO participants.  The group discussion was facilitated by Forum Moderator Chris Ekrem, FACHE, VP of Hospitals at EqualizeRCM.

EqualizeRCM is pleased to sponsor another relevant educational session with expert speakers for rural hospital administrators and CFOs. The 2/21/23 Forum focused on the following:

Advanced cost reporting concepts including, understanding the “why” behind having a payable or receivable, how square footage affects the Cost Report, when it makes sense to reopen or not reopen a Cost Report, cost-based reimbursement myths, reimbursement opportunities within the Cost Report, how the ratio of cost to charges affects reimbursement, are you making money on your non-Medicare business, and much more.

A written summary of the 12/6 CAH Forum is available by contacting Chris Ekrem at

Be sure and visit us online at to learn more about future educational events. Also, visit us on our LinkedIn page at to stay connected with your professional peers.

The CAH CFO-Administrator Forum, is organized by EqualizeRCM, a leading proponent for Community Health organizations. The CAH Forum seeks to provide Financial Administrators of rural health facilities an opportunity to participate in focused events, share insightful ideas, discuss challenges and solutions, but most importantly collaborate and communicate with like-minded professionals in the industry. Learn more by visiting or contacting

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