Reimbursement & Payment Programs

• CMS Reducing Payment for COVID-19 Lab Testing (October 16, 2020)
• CMS Updates: COVID-19 Data Reporting and Enforcement Process for Hospitals that Fail to Report (October 14, 2020)
• Provider Relief Fund Phase 3: 43 New FAQs & Instructions Posted (October 7, 2020)
• Additional $20 Billion Allocation – Apply Starting October 5; Payback Delay for Medicare Accelerated Payments (October 1, 2020)
• HHS Publishes Provider Relief Fund Detailed Reporting Guidelines: Where Did Lost Revenue Go? (September 22, 2020)
• FFY 2021 Inpatient PPS Final Rule Released by CMS (September 4, 2020)
• HHS Rolls Out Medicaid Targeted Distribution, Clarifies Quarterly Reporting Deadline and Updates Other FAQs (June 26, 2020)
• Court Rules that Hospital Price Transparency Requirements Can Take Effect (June 26, 2020)
• $175 Billion Health Care Relief Fund: How Much Is Left After New Medicaid/CHIP and Safety Net Hospital Payments Announced? (June 12, 2020)
• IMMEDIATE ACTION REQUIRED – HHS Requesting Updated COVID-19 Patient Data to Inform New Round of High Impact Payments (June 10, 2020)
• The FAQ Carousel: HHS Continues with More Updates to CARES Act Relief Fund FAQs (June 1, 2020)
• HHS Extends Deadline for Submitting Relief Fund Attestations (Again) (May 23, 2020)
• HHS Updates Its CARES Act Provider Relief Fund FAQs Again (May 22, 2020)
• IMMEDIATE ACTION REQUIRED – Upcoming CARES Act Relief Fund Deadlines and Latest Updates (May 21, 2020)
• Did the Ground Just Shift? CMS Proposes Changes to Hospital Wage Index Areas (May 13, 2020)
• HHS Extends Deadline for Submitting Relief Fund Attestations (May 7, 2020)
• CMS Flexibilities for Relocation of Provider-Based Hospital Departments During the COVID-19 Public Health Emergency (May 7, 2020)
• CMS Flexibilities for Billing Hospital Outpatient Therapeutic Services During the COVID-19 Public Health Emergency (May 5, 2020)
• CMS Provides New Avenues for Freestanding EDs to Participate in Medicare and Medicaid (April 29, 2020)
• New/Updated Terms and Conditions and Hall Render Briefing Document (April 26, 2020)
• HHS Relief Fund Payment Portal Now Open (April 26, 2020)
• New Provider Relief Fund Application Guide Website and FAQ Document (April 26, 2020)
• PPP Loans and FCA Liability (April 24, 2020)
• Small Governmental Hospitals Now Eligible for PPP Loans (April 24, 2020)
• HHS Outlines Framework for Reimbursing Hospitals and Providers for COVID-19 Testing and Treatment Provided to Uninsured Patients (April 23, 2020)
• CARES Act Relief Funding: Additional Tranches Announced (April 23, 2020)
• IMMEDIATE ACTION REQUIRED – HHS Requests Data from Hospitals to Inform COVID-19 Provider Funding Distributions (April 22, 2020)
• Providers May Set Reimbursement Rates with Out-Of-Network Payors for COVID-19 Testing by Posting Rate to Website (April 22, 2020)
• First Tranche of Payments from the $100B CARES Funding Relief Being Delivered (April 10, 2020)
• Updates on $100 Billion Health Care Relief Fund and Medicare Accelerated Payment Program (April 9, 2020)
• Temporary Suspension of Medicare Sequestration and Increased DRG Payments Under the CARES Act: But What About Medicare Advantage? (April 8, 2020)
• Small Business Relief Developments – Interim Final Rule Released for SBA Paycheck Protection Program and Application Period Begins (April 4, 2020)
• Health Care Providers and FEMA’s COVID-19 Public Assistance (April 3, 2020)
• CMS Activates Accelerated Payment Program Nationwide as Part of COVID-19 Response (March 29, 2020)
• Latest Stimulus Bill Includes Over $100 Billion in Health Care Industry Relief: Providers Should Start Preparing Now (March 27, 2020)
• COVID-19 Related Financial Relief Opportunities for Small Businesses (March 27, 2020)
• Hospital Exact Match Claim Edits Further Delayed Amidst COVID-19 Pandemic (March 25, 2020)