Worksheet A-6

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FORM CMS-2552-10
INSTRUCTIONS AS PUBLISHED IN CMS PUB. 15-II, , REV 1

MEDICAL UNIVERSITY OF SOUTH CAROLINA - CHARLESTON, SC
Cost report status - As Submitted
[Record Code 741780 - 2010]
This is a prior filing for this period.

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RECLASSIFICATIONS Provider CCN: 420004
PERIOD:
FROM 07/01/2021
TO 06/30/2022
 WORKSHEET A-6
- Select other programs and provider types available
EXPLANATION OF RECLASSIFICATION(S)
CODE
(1)
 INCREASES DECREASES
WKST.
A-7
Ref.
  
COST CENTER WKST. A LINE # SALARY OTHER COST CENTER WKST. A LINE # SALARY OTHER
    1 2 3 4 5 6 7 8 9 10
1 CHARGEABLE MEDICAL SUPPLIES ### ### ### ### ### 1
2 CHARGEABLE MEDICAL SUPPLIES ### ### ### 2
3 CHARGEABLE MEDICAL SUPPLIES ### ### ### 3
4 CHARGEABLE MEDICAL SUPPLIES ### ### ### 4
5 CHARGEABLE MEDICAL SUPPLIES ### ### ### 5
6 CHARGEABLE MEDICAL SUPPLIES ### ### ### 6
7 CHARGEABLE MEDICAL SUPPLIES ### ### ### 7
8 CHARGEABLE MEDICAL SUPPLIES ### ### ### 8
9 CHARGEABLE MEDICAL SUPPLIES ### ### ### 9
10 CHARGEABLE MEDICAL SUPPLIES ### ### ### 10
11 CHARGEABLE MEDICAL SUPPLIES ### ### ### 11
12 CHARGEABLE MEDICAL SUPPLIES ### ### ### 12
13 CHARGEABLE MEDICAL SUPPLIES ### ### ### 13
14 CHARGEABLE MEDICAL SUPPLIES ### ### ### 14
15 CHARGEABLE MEDICAL SUPPLIES ### ### ### 15
16 CHARGEABLE MEDICAL SUPPLIES ### ### ### 16
17 CHARGEABLE MEDICAL SUPPLIES ### ### ### 17
18 CHARGEABLE MEDICAL SUPPLIES ### ### ### 18
19 CHARGEABLE MEDICAL SUPPLIES ### ### ### 19
20 CHARGEABLE MEDICAL SUPPLIES ### ### ### 20
21 CHARGEABLE MEDICAL SUPPLIES ### ### ### 21
22 CHARGEABLE MEDICAL SUPPLIES ### ### ### 22
23 CHARGEABLE MEDICAL SUPPLIES ### ### ### 23
24 CHARGEABLE MEDICAL SUPPLIES ### ### ### 24
25 CHARGEABLE MEDICAL SUPPLIES ### ### ### 25
26 CHARGEABLE MEDICAL SUPPLIES ### ### ### 26
27 CHARGEABLE MEDICAL SUPPLIES ### ### ### 27
28 28
29 29
500 Total reclassifications (sum of columns 4 and 5 must equal sum of columns 8 and 9) ###     ### 500
(1) A letter (A, B, etc.) must be entered on each line to identify each reclassification entry.
Transfer the amounts in columns 4, 5, 8, and 9 to Worksheet A, column 4, lines as appropriate.
FORM CMS-2552-10 (08/2011) (INSTRUCTIONS FOR THIS WORKSHEET ARE PUBLISHED IN CMS PUB. 15-II, SECTION 4014)
10-12   Rev. 3