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Client Alerts

26 05, 2020

Medicare Bad Debt Policies Proposed in FY 2021 Inpatient Prospective Payment System (IPPS) Proposed Rule

2020-05-26T21:17:36+00:00May 26th, 2020|Client Alert|

In the FY 2021 IPPS Proposed Rule, the Centers for Medicare and Medicaid Services proposes to codify its bad debt policies included in Chapter 3 of the Provider Reimbursement Manual.  The following longstanding policies would be applied retroactively to past cost reporting periods. To determine a beneficiary to be an indigent non-dual eligible beneficiary, the [...]

19 05, 2020

SBA Releases PPP Forgiveness Application and Instructions

2020-05-19T14:56:55+00:00May 19th, 2020|Client Alert|

The U.S. Small Business Administration (SBA), in consultation with the Department of the Treasury, has released an application for Paycheck Protection Program (PPP) loan forgiveness along with instructions for completion. The form and instructions can be located here: Forgiveness Application The SBA indicated they created the form with the intent to reduce compliance burdens and [...]

11 05, 2020

GASB Delays Certain Authoritative Guidance

2020-05-11T15:42:08+00:00May 11th, 2020|Client Alert|

On Friday, May 8th the Governmental Accounting Standards Board (GASB) issued Statement No. 95 to postpone certain authoritative guidance in response to the impact of Coronavirus (COVID-19).  The Statement is effective immediately. Updated Statement effective dates (1-year delay) are as follows: Statement No. 83, Certain Asset Retirement Obligations – reporting periods beginning after June 15, [...]

11 05, 2020

HHS Funds Distribution Requirements

2020-05-11T15:38:24+00:00May 11th, 2020|Client Alert|

The Department of Health and Human Services (HHS) has distributed a significant portion of the $100 billion appropriated in the CARES Act for the Provider Relief Fund. This has been or will be awarded in several different distribution fund types:  $30 billion general; $20 billion general; $10 billion rural; $12 billion high impact; and uninsured. [...]

5 05, 2020

2019 Occupational Mix Survey for Wage Index Beginning FFY 2022

2020-05-05T00:19:22+00:00May 5th, 2020|Client Alert|

The Centers for Medicare and Medicaid Services (CMS) is required to collect data every three years on the occupational mix of employees for each short-term, acute care hospital that is subject to the inpatient prospective payment system, in order to construct an occupational mix adjustment to the wage index. The 2019 Occupational Mix Survey and [...]

5 05, 2020

Medicare Uncompensated Care Data – Worksheet S-10 Audits

2020-05-05T00:18:19+00:00May 5th, 2020|Client Alert|

CMS has instructed Medicare Administrative Contractors (MACs) to audit cost report data included on Worksheet S-10 for cost reporting periods beginning October 1, 2017, through September 30, 2018. The focus of the audits is on charity and bad debt adjustments that are now being utilized to distribute Medicare Uncompensated Care payments. The MACs are reviewing [...]

5 05, 2020

SBA Paycheck Protection Program Loan Update: Additional Guidance for Hospital and Healthcare Authorities

2020-05-05T00:04:59+00:00May 5th, 2020|Client Alert|

On May 3, 2020, the SBA released additional questions and answers, which can be found at the following link: https://home.treasury.gov/system/files/136/Paycheck-Protection-Program-Frequently-Asked-Questions.pdf Of particular note is Q&A #42, which relates to hospitals that are exempt from taxation under IRC Section 115, which includes hospital and healthcare authorities (and other similar governmental instrumentalities) without Section 501(c)(3) status: Question: [...]

29 04, 2020

CMS Releases Survey on 340B Acquisition Costs for Hospitals

2020-04-30T19:47:45+00:00April 29th, 2020|340B, Client Alert|

At a time when 340B hospitals are providing vital services to their communities in the wake of COVID-19, facing budgetary shortfalls and making critical staffing decisions, CMS has released its survey of average 340B acquisition costs for hospitals paid under OPPS.  CMS notes that the average time to complete the survey will be 48 hours [...]

24 04, 2020

COVID-19 Claims Reimbursement for Testing and Treating Uninsured Patients

2020-04-24T21:13:23+00:00April 24th, 2020|Client Alert|

A portion of the $100 billion Provider Relief Fund will be used to reimburse healthcare providers for COVID-related treatment of the uninsured.  Every health care provider who has provided testing or treatment for uninsured COVID-19 patients on or after February 4, 2020, can electronically request claims reimbursement through the program and will be reimbursed at [...]