Client Alerts

The annual recertification process for hospitals begins this week.  Many of you have already reached out to us for guidance with this process, including assistance reviewing key information in OPAIS.  For those of you still working through the recertification, we wanted to share a few areas that may need extra attention this year.   HRSA [...]

The Department of Health and Human Services (HHS) has provided claims reimbursement for testing, treating, and vaccinating uninsured COVID-19 patients and vaccinating underinsured COVID-19 patients through the Health Resources and Services Administration (HRSA) Provider Relief Fund (PRF) program. HRSA has announced that due to lack of funds these programs will stop accepting claims as follows: [...]

The Georgia Department of Community Health (DCH) has communicated to providers in a memorandum dated November 1, 2021, that DCH is preparing to make interim payments for the State Fiscal Year 2022 DSH program.  Interim payments will not be provided to private hospitals due to the unavailability of state matching funds. Notice of Intent to [...]

Under the provisions at 42 CFR 412.113(c), rural hospitals (PPS and CAH) may qualify for cost reimbursement versus fee schedule for Certified Registered Nurse Anesthetists (CRNAs) and Anesthesiology Assistants (AAs) for hospital services (subunits and swing beds are not included in this exemption). This election must be requested on a calendar year basis no later [...]

The Georgia Department of Community Health (DCH) has communicated the process of the SFY 2021 Hospital UPL payments.  Payments and intergovernmental transfer amounts were provided with a notice to providers and will be posted at https://dch.georgia.gov/.  Select the following links to obtain the UPL information: Providers, Provider Types, Hospital Providers, Hospital Supplemental Reimbursement, SFY 2021 [...]

On March 11, 2021, H.R. 1319 was signed into law. The American Rescue Plan Act contains a provision that will result in an increase to the total computable DSH payment allowed for SFY 2020 and SFY 2021. The recalculation of the annual DSH allotment has been completed and the adjustment to DSH payments for the [...]

The Bipartisan Budget Act of 2018 modified the qualifying criteria for the low volume hospital payment adjustment for fiscal years 2019 through 2022.  Under the modified criteria, the payment increases are applicable for hospitals that have less than 3,800 total discharges and are located more than 15 road miles from another hospital (excluding critical access, [...]

The Department of Health and Human Services (HHS) has updated its guidance for Single Audit reporting of Provider Relief Funds (PRF) on the Schedule of Expenditures of Federal Awards (SEFA).  On 7/15/2021, HHS added two new Auditing and Reporting Requirements FAQs which delay the inclusion of PRF on the SEFA and align the single audit [...]

The Georgia Department of Community Health (DCH) has communicated the process of the SFY 2020 Hospital UPL payments.  Payments and intergovernmental transfer amounts were provided with a notice to providers and will be posted at https://dch.georgia.gov/.  Select the following links to obtain the UPL information: Providers, Provider Types, Hospital Providers, Hospital Supplemental Reimbursement, SFY 2020 [...]

The Georgia Department of Community Health (DCH) has communicated to providers that DCH is preparing to make final payments for the State Fiscal Year 2021 Disproportionate Share Hospital (DSH) program. Gross payments, intergovernmental transfer amounts, and related documents are posted on DCH’s website at www.dch.georgia.gov. Select the following links to obtain the DSH information: Providers, [...]