logo
logo
logo
MENU
Categories
Hospitals and Health Systems - Audits and ReimbursementHospitals and Health Systems - Consent and TreatmentHospitals and Health Systems - Corporate and GovernanceHospitals and Health Systems - Corporate ComplianceHospitals and Health Systems - Fraud and AbuseHospitals and Health Systems - Government InvestigationsHospitals and Health Systems - Health RecordsHospitals and Health Systems - HIPAA and HITECHHospitals and Health Systems - Managed CareHospitals and Health Systems - Medical Staff IssuesHospitals and Health Systems - Medical Training ProgramsHospitals and Health Systems - MedicareHospitals and Health Systems - Mergers, Affiliations and Joint VenturesHospitals and Health Systems - Peer ReviewHospitals and Health Systems - Professional Services AgreementsMedical SocietiesPharmaceutical Industry - Agreements with PhysiciansPharmaceutical Industry - Clinical ResearchPharmaceutical Industry - Regulatory CompliancePhysicians and Providers - Audits and ReimbursementPhysicians and Providers - CertificationsPhysicians and Providers - CredentialingPhysicians and Providers - Disciplinary ActionsPhysicians and Providers - Employment AgreementsPhysicians and Providers - Fraud and AbusePhysicians and Providers - Government InvestigationsPhysicians and Providers - HIPAA and PrivacyPhysicians and Providers - ImpairmentPhysicians and Providers - LicensingPhysicians and Providers - LitigationPhysicians and Providers - MedicarePhysicians and Providers - Peer ReviewPhysicians and Providers - Practice AcquisitionsPhysicians and Providers - Practice IssuesPhysicians and Providers - Regulatory CompliancePhysicians and Providers - SupervisionPhysicians and Providers - TrainingUncategorized
Sandra Jarva Weiss
Member
Sandra Jarva Weiss
Visit Profile

HHS Modifies COVID-19 Provider Relief Fund Eligibility and Reporting Requirements

HHS Modifies COVID-19 Provider Relief Fund Eligibility and Reporting Requirements

On Thursday, October 22, the United States Department of Health and Human Services (HHS) announced that the latest Provider Relief Fund (PRF) application period has been expanded to include additional provider applicants such as residential treatment facilities, chiropractors, and vision care providers who have not yet received PRF distributions. The Phase 3 PRF funding, announced on October 1, 2020, makes an additional $20 billion available for providers on the front lines of the COVID pandemic.

HHS Reporting Requirements

In this latest announcement, the HHS also modified its reporting guidance for PRF payment recipients. To date, the PRF has obligated over $135 billion to providers for health care-related expenses or lost revenues attributable to COVID. Guidance issued by the HHS in September on instructions for reporting on the use of PRF distributions limited the applicability of the PRF funds to an amount that would allow most providers to be no more profitable in 2020 than they were in 2019. At that time, the HHS concluded it would be inequitable to allow some providers to be more profitable in 2020 than in 2019 while so many other providers were struggling to survive. The September guidance resulted in significant industry push back, as it would require many hospitals to return PRF funds that had already been provided to support their immediate COVID needs.

Provider Relief Fund Eligibility

In response to these concerns raised by the industry, HHS, in its most recent guidance, amended the reporting requirements to provide that after reimbursing health care-related expenses attributable to COVID, which were not reimbursed by other sources, providers may use their remaining PRF funds to cover any lost revenue. Lost revenue is measured as a negative change in year-over-year actual revenue from patient care-related sources. This change allows the provider to apply PRF distributions received against all lost revenues, without limitation. The American Hospital Association, among other industry groups, has applauded HHS’ change.

If you have any questions concerning this post, please contact me at sjarvaweiss@norris-law.com. For other topics related to COVID-19, visit our Coronavirus Thought Leadership Connection.

The information contained in this post may not reflect the most current developments, as the subject matter is extremely fluid and constantly changing. Please continue to monitor this site for ongoing developments. Readers are also cautioned against taking any action based on information contained herein without first seeking advice from professional legal counsel.

Share
Related Posts
OSHA Issues COVID-19 Safety Rule: Emergency Temporary Standard (ETS)
Impact of the COVID Pandemic on Physician Employment Agreements
Telemedicine and the COVID-19 Vaccination – What’s on the Horizon for 2021?
Sandra Jarva Weiss
Member
Sandra Jarva Weiss
Visit Profile
Related Posts
OSHA Issues COVID-19 Safety Rule: Emergency Temporary Standard (ETS)
Impact of the COVID Pandemic on Physician Employment Agreements
Telemedicine and the COVID-19 Vaccination – What’s on the Horizon for 2021?
Share
Join our growing team
We are looking for quality attorneys to help us do more for our clients. At Norris McLaughlin, each attorney has the same opportunity to succeed whether you’re at the beginning of a career or pinnacle of the profession.
Subscribe to our content
Receive timely legal information
delivered to your inbox
Subscribe to our content
Receive timely legal information
delivered to your inbox
© 2021, Norris McLaughlin, P.A., All Rights Reserved. Attorney Advertising.
Meritas

We use cookies to ensure that we give you the best experience on our website. If you continue to use this site we will assume you consent to our cookie policy. Learn more