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Client Alerts

23 08, 2022

Hospital 340B Program Recertification must be completed by September 19, 2022

2022-08-23T15:55:22-05:00August 23rd, 2022|Client Alert|

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 [...]

18 03, 2022

HRSA COVID-19 Uninsured Program and Coverage Assistance Fund Ending

2022-03-18T15:06:38-05:00March 18th, 2022|Client Alert|

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: [...]

3 11, 2021

FY 2022 Interim Disproportionate Share Hospital (DSH) Payments

2021-11-03T13:55:19-05:00November 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

2021-10-20T15:44:01-05:00October 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

2021-09-16T17:08:48-05:00September 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

2021-08-20T16:15:34-05:00August 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

2021-06-14T16:43:44-05:00June 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

2021-05-21T15:47:17-05:00May 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, [...]

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