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 [...]
Recently, the Georgia Department of Community Health (DCH) communicated to providers that Myers & Stauffer has completed an initial review of the SFY 2021 Disproportionate Share Hospital (DSH) Survey responses. Preliminary results will be available by the end of this week on the DCH website at www.dch.georgia.gov. Select the following links to obtain the DSH [...]
340B Recertification for Community Health Centers begins February 1, 2021 and must be completed by March 1. The annual 340B recertification provides an opportunity for a comprehensive review of your health centers’ OPAIS registration(s). We wanted to share common opportunities to enhance compliance that we have identified when working with health centers’ 340B Programs. Retail [...]
The Georgia Department of Community Health (DCH) has communicated to providers in a memorandum dated November 18, 2020 that DCH is preparing to make interim payments for the State Fiscal Year 2021 Disproportionate Share Hospital program. Interim payments will not be provided to private hospitals due to the unavailability of state matching funds. The following [...]
Lost Revenue The Department of Health and Human Services (HHS) has updated its guidance and information on the use of the Provider Relief Funds (PRF). From the October 22nd HHS release, HHS has amended “…the reporting instructions to increase flexibility around how providers can apply Provider Relief Fund money toward lost revenues attributable to coronavirus. [...]
The Department of Health and Human Services (HHS) has released additional guidance on the $2 billion quality incentive payment program under the Nursing Home Infection Control Distribution from the Provider Relief Fund. Nursing homes will not have to apply for this new program as HHS will be measuring nursing home performance and distributing payments based [...]
The Department of Health and Human Services (HHS) has released the new reporting requirements for providers that received more than $10,000 in Provider Relief Funds. This dollar limit is applied in the aggregate for all the distributions from the Provider Relief Fund (i.e. General, High Impact, Safety Net, Rural, and others) and not to each [...]
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 announced new reporting requirements for providers that received more than $10,000 in Provider Relief Funds. This dollar limit is applied in the aggregate for all the distributions from the Provider Relief Fund (i.e. General, High Impact, Safety Net, Rural, Nursing Home, and others) and not to [...]
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. Provider Relief Fund payments are being disbursed by both “General” and “Targeted” Distributions. The Provider Relief Fund Frequently Asked Questions (FAQs) were recently updated to address the control [...]
P.O. Box 71309
Albany, GA 31708-1309
Phone: 229-883-7878
Fax: 229-435-3152
Five Concourse Parkway, Suite 1250
Atlanta, Georgia 30328
Phone: 404-220-8494
Fax: 229-435-3152
This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
© Draffin & Tucker, LLP. All Rights Reserved. Member: Leading Edge Alliance | Policies