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Client Alerts

3 11, 2021

FY 2022 Interim Disproportionate Share Hospital (DSH) Payments

2021-11-03T13:55:19+00:00November 3rd, 2021|Client Alert|

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 [...]

20 10, 2021

CRNA Exemption

2021-10-20T15:44:01+00:00October 20th, 2021|Client Alert|

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 [...]

16 09, 2021

State Fiscal Year (SFY) 2021 Upper Payment Limit (UPL) Hospital Payments

2021-09-16T17:08:48+00:00September 16th, 2021|Client Alert|

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 [...]

20 08, 2021

Low Volume Hospital Payment Adjustments for FFY 2022

2021-08-20T16:15:34+00:00August 20th, 2021|Client Alert|

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, [...]

14 06, 2021

State Fiscal Year (SFY) 2020 Upper Payment Limit (UPL) Hospital Payments

2021-06-14T16:43:44+00:00June 14th, 2021|Client Alert|

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 [...]

21 05, 2021

FY 2021 Disproportionate Share Hospital (DSH) Payment

2021-05-21T15:47:17+00:00May 21st, 2021|Client Alert|

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, [...]

22 04, 2021

Redistribution of FY 2015 – FY 2017 Disproportionate Share Hospital (DSH) Audit Overpayments

2021-04-22T14:22:45+00:00April 22nd, 2021|Client Alert|

The Georgia Department of Community Health notified public hospitals of a redistribution of overpayments identified by Myers and Stauffer’s Independent Verification of the SFY 2015 through SFY 2017 DSH payments. Information about the schedule, payment and intergovernmental transfer amount is available on the Department’s web site at dch.georgia.gov by selecting options for “Provider,” “Provider Types,” [...]

16 04, 2021

COVID-19 Rural Health Center (RHC) and Federally Qualified Health Center (FQHC) Lump Sum Payments

2021-04-16T19:19:19+00:00April 16th, 2021|Client Alert|

Recently, the Centers for Medicare and Medicaid Services (CMS) announced that RHCs and FQHCs may request lump sum payments for administering COVID-19 vaccinations prior to settlement of cost reports.  Lump sum amounts will be determined based on 100 percent reasonable cost, similar to influenza and pneumococcal vaccines. To request a lump sum payment in advance [...]

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