Med-Calc Medicare Cost Report Software - 2026 Pricing, Features, Reviews & Alternatives

Med-Calc Medicare Cost Report Software is a CMS-approved, Excel-based cost report preparation solution for Medicare-certified long-term care providers, including Home Health Agencies (Form 1728), Skilled Nursing Facilities (Form 2540), Hospice providers (Form 1984), and Home Office entities (Form 287). Delivered as a standalone Microsoft Excel file compatible with Excel 2007 and later on Windows PCs, Med-Calc Medicare Cost Report Software requires no installation — the file is emailed and ready to open immediately. Sold as an annual license per cost report submission, it serves individual providers and large multi-facility chains, and is structured to support both experienced preparers and those new to Medicare cost reporting.

The software consolidates all cost report data, notes, and workpapers within a single file, reducing version-control complexity. Trial balance coding auto-populates values across worksheets, while one-click PS&R imports transfer Home Health Agency and SNF data directly to the appropriate worksheets. Electronic Cost Report (ECR) imports are supported from any vendor and any year, with options for full import or template-only (ID and demographics). Automatic Level I and Level II edit checks, plus additional warnings, flag errors during preparation. Color-coded input fields distinguish user-entered cells from formula-driven cells, and navigation links from the start-up page provide direct access to all worksheets. Flexible statistics allocation supports census, gross salaries, and other formulas across cost centers, with manual override and restore options.

Med-Calc Medicare Cost Report Software includes management reports for HHA and Hospice covering census, cost, revenues, and allocation statistics, as well as flexible printing options for full or selected worksheets. Electronic Cost Report (ECR) file creation with electronic signature support allows direct submission via the CMS MCReF portal. Software updates aligned to current CMS regulations and included support keep preparers current without additional cost.