April 27, 2020
HHS Begins Payout of Remaining $20 Billion, But It Could Be Hard to Get
HHS has now begun dispensing the remaining $20 billion of the $50 billion set aside for Medicare providers as part of the Coronavirus Aid, Relief, and Economy Security (CARES) Act Provider Relief Fund, but getting a share of that $20 billion could be tricky.
While the $20 billion is being distributed to Medicare facilities and providers, including hospitals, physician practices, group practices, ambulatory surgery centers and home health agencies, it will be allocated so that “the whole $50 billion general distribution is allocated proportional to providers’ share of 2018 net patient revenue,” according to the HHS website. That means practices with heavier Medicaid and other federal healthcare program revenues could be prioritized (see takeaways below).
Furthermore, if your practice received payments as part of the distribution of the first $30 billion in funds, HHS says you will need to access the CARES Act Provider Relief Fund Payment Attestation Portal and sign an attestation confirming you received that money and agree to the terms and conditions before you can apply for money from this more recent $20 billion round of funding.
If you received money in the first round based on 2019 Medicare revenue, odds are you will not receive anything in this second round. That’s because this money is being targeted toward practices with a higher dependence on non-Medicare federal healthcare programs (e.g., Medicaid, TRICARE). The government is also prioritizing money in this round for RHCs/FQHCs, CAHs, and those practices that did not receive anything in the first round. For those who are trying to submit cost reports for a share of this money (the $20 billion), if you received money in the first round you must attest for it first.
What to do next…
- If you need help with an audit appeal or regulatory compliance concern, contact us at (800) 635-4040 or via email at [email protected].
- Read more about our: Total Compliance Solution
Why do thousands of providers trust DoctorsManagement to help improve their compliance programs and the health of their business?
Experienced compliance professionals. Our compliance services are structured by a chief compliance officer and supported by a team that includes physicians, attorneys and a team of experienced auditors. The team has many decades of combined experience helping protect the interests of physicians and the organizations they serve.
Quality of coders and auditors. Our US-based auditors receive ongoing training and support from our education division, NAMAS (National Alliance of Medical Auditing Specialists). All team members possess over 15 years of experience and hold both the Certified Professional Coder (CPC®) as well as the Certified Professional Medical Auditor (CPMA®) credentials.
Proprietary risk-assessment technology – our auditing team uses ComplianceRiskAnalyzer(CRA)®, a sophisticated analytics solution that assesses critical risk areas. It enables our auditors to precisely select encounters that pose the greatest risk of triggering an audit so that they can be reviewed and the risk can be mitigated.
Synergy – DoctorsManagement is a full-service healthcare consultancy firm. The many departments within our firm work together to help clients rise above the complexities faced by today’s healthcare professionals. As a result, you receive quality solutions from a team of individuals who are current on every aspect of the business of medicine.