Home Page Slider Image 1
Home Page Slider Image 1
Home Page Slider Image 1
Home Page Slider Image 1

Medicaid and Medicare Cost Reporting Preparation and Software

For more than two decades, Manis & Ryan has been providing expert Medicare consulting, Medicare Cost Report preparation and business automation to healthcare providers nationwide. From Alaska to Puerto Rico and everywhere between, Home Health Agencies, Hospices, Skilled Nursing Facilities and other provider-types trust Manis & Ryan for our proven experience, personal service and quality products.

Medicare Consulting

In Medicare, a straight answer is everything.  You, after all, spend hours not getting one.  Nothing saves you time like getting to the point.  Patrick Manis and Greg Ryan worked in management at the largest Fiscal Intermediary in the nation, having conducted Medicare consulting from Boston to San Diego.  We have built relationships with Providers, Fiscal Intermediaries, CMS, and industry colleagues coast-to-coast.  Our knowledge of the complex regulations that govern the Medicare Program helps navigate clients through Medicare’s turbulent seas.   So, if you want straight answers, just call.


Cost Reports & Reimbursement

To prepare your Medicare Cost Report, Manis & Ryan uses our own CMS-Approved Cost Reporting software: "Spirit of 1728".  We developed this product over years, in-house.  And since CMS changes the Medicare Cost Report requirements annually, it is, for us, ever an ongoing project.  Our extensive background in Medicare Cost Reporting, Medicare consulting, and Accounting, assures you, the client, that your Cost Report is prepared professionally, on federal government-approved software, by people who understand thoroughly the laws and regulations which govern the cost reporting process. 


Accounting Services

Clients nationwide trust Manis & Ryan to help establish their accounting systems and practices, to insure all financial and statistical data reconciles seamlessly into their Medicare Cost Report. Your Medicare Cost Report is only as good as the accounting used to prepare it.

Remember: The Medicare Program each year reimburses Healthcare Providers nationwide, collectively, billions of dollars. That’s billions with a “B”.  CMS, in exchange, wants an accounting of that – an accurate accounting.  We suggest you trust Manis & Ryan with your accounting. 


Our Work

Plain & simple, our goal is to provide you with answers. We do so by combining new age technologies with old fashioned service. For us, your trust is everything. And nothing enhances our reputation more than the ringing endorsement of a satisfied client. It is, after all, why we’re still here.

About Us

We have established professional relationships with the Provider Community, Fiscal Intermediaries, and CMS.  More>>

Contact Us

Cost Reporting Preparation - Greg Ryan
P.O. Box 5003
Woodland Hills, CA 91365-5003

Phone: (818) 917-9862
Alt: (818) 710-8757
Fax:  (818) 710-8444

Software/ Account Management – Patrick Manis/ Jessie Manis
100 W. High Street  #2110
Moorpark, CA 93020

Phone: (805) 523-7364
Fax:(805) 523-3398

Accounting Services – Lynne Martin/ Jessie Manis
20945 Devonshire St. #205
Chatsworth, CA 91311

Phone: (818) 426-1492
Fax: (747) 237-7976

Committed To Your Success

At Manis & Ryan we are committed to helping our clients meet today's challenges and tomorrow's goals. Developing next- generation technology and services to help your company reach it's business objectives. Cutting edge technology with old fashioned service.


We offer demo versions of our Spirit of 1728 software programs for your review. Experience the ease of use and functionality of our software before you buy. Give us a call at (805) 523-7364 for more info!

Credit Card Processing

Manis & Ryan accepts all Credit Cards at no extra charge! Click here to download our Credit Card Authorization Form