Healthcare providers have begun to receive disbursements from The Department of Health and Human Services (HHS) as part of the Relief Fund Payment.
With the receipt of the funds, several questions have arisen as to the attestation and reporting requirements. HHS has published the associated Relief Fund Payment Terms and Conditions which details many of the answers. It is important to note that some specifics of the reporting requirements are still under development and will be named at a later date. To date, funding requirements include:
- The purpose of the payment is to reimburse providers for those expenses and lost revenues that are attributable to COVID-19. They cannot be used for expenses or losses that have been reimbursed by other sources.
- Providers who receive more than $150,000 from any and all COVID-19 relief acts must submit reports no later than 10 days after the end of each calendar quarter. These reports should include details such as the amounts received from each program and a list of all projects or activities for which the funds were expensed or obligated.
- All COVID-19 patients are to be treated as in-network patients and providers cannot collect any out-of-pocket expenses in an amount greater than what the patients would have paid as an in-network patient.
- Limitations on what the funds can be used for are detailed through a list of prohibited uses.
A key to ensuring appropriate reporting is the maintenance of appropriate records and documentation of all COVID-19 related activities, expenses and losses. This will be imperative for reporting purposes as well as to support your facility in working with the MAC or other regulatory entities on any questions, through any appeal process or in negotiating a repayment plan.
The team at The Rybar Group is available to help you understand these requirements and to assist you in ensuring that your facility is taking advantage of the other grants and revenue opportunities that are available, working on your behalf through the entire process.
Contact us today with any questions:
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Rick Reid
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Julie Hardy
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Director, Provider Payment Analytics
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Director, Revenue Integrity and Payment
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810-853-6167
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810-853-6171
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