CMS has instructed Medicare Administrative Contractors (MACs) to audit provider cost report data reported on Worksheet S-10. The focus of the audits is on charity and bad debt adjustments reported that are now being utilized to distribute Medicare Uncompensated Care payments. The MACs are reviewing policies that govern which patient accounts receive these adjustments [...]
In a memorandum dated September 11, 2018, from John Upchurch, the Georgia Department of Community Health (DCH) communicated survey instructions for completing the FY 2019 Disproportionate Share Hospital (DSH) Data Survey. These instructions can be accessed at the following link: https://dch.georgia.gov/indigent-care-trust-fund. Myers and Stauffer will send the survey to each hospital via their web [...]
In a memorandum dated September 6, 2018, from John Upchurch, the Georgia Department of Community Health (DCH) communicated the process of the SFY 2018 Upper Payment Limit (UPL) hospital payments. This memorandum directs providers to the DCH website where the gross payments and intergovernmental transfer amounts are listed. The website is https://dch.georgia.gov/. Select the [...]
Pending the Centers for Medicare and Medicaid Services’ approval, effective July 1, 2018, nursing facility providers will receive their cost of general and professional liability insurance in the per diem rate. For this cost to be recognized, all nursing facility providers must complete the appropriate electronic GL-PL Insurance Supplementary Report located at https://dch.georgia.gov/gl-pl-insurance-supplemental-reports. The [...]
July 27, 2018 is the deadline for filing the 2017 Hospital Financial Survey (HFS), Financial Statement Reconciliation Addendum, and Indigent Care Trust Fund Addendum. The forms and instructions can be accessed on the Georgia Department of Community Health website http://www.georgiahealthdata.info. For PPS providers, this survey has a major impact on actual expenses given that the [...]
On May 23, 2018, Treasury released Notice 2018-54, stating that proposed regulations are forthcoming related to the federal income tax treatment of certain payments made by taxpayers for which a credit is received against their state and local taxes. These future regulations may affect the federal deductibility of charitable contributions under the Georgia Qualified Rural [...]
In a memorandum dated May 21, 2018, from John Upchurch, the Georgia Department of Community Health (DCH) communicated the process of the State Fiscal Year 2018 Nursing Home Upper Payment Limit (UPL) payments for the 4th quarter. The transfer amounts and gross nursing home UPL funds are available on the DCH website: https://dch.georgia.gov/nursing-home-supplemental-reimbursement. The [...]
The Georgia Department of Community Health (DCH) has communicated to providers in a memorandum dated May 14th that DCH is preparing to make final payments for the State Fiscal Year 2018 Disproportionate Share Hospital (DSH) program. Gross payments, intergovernmental transfer amounts, and related documents are included with the memorandum. This information is posted on [...]
Recently, the Department of Community Health (DCH) published an updated Pharmacy Services Provider Manual with additional billing instructions for all 340B drug claims. DCH used this update to consolidate prior guidance and provide additional information on 340B Program participation and prevention of duplicate discounts. For 340B Outpatient Pharmacy (Retail Pharmacy) Claims, DCH now requires [...]
The Bipartisan Budget Act of 2018 extends the relaxed qualifying criteria for the low volume hospital payment adjustment through September 30, 2018. Under the relaxed criteria, the payment increases are applicable for hospitals that have less than 1,600 Medicare discharges (including traditional and Medicare Advantage) and are located more than 15 road miles from [...]