COVID-19 Update Forum Details
Join the interactive COVID-19 Update Forum with participation options via phone or PC audio. Stay informed on funding reminders, Medicare updates, and more related to COVID-19 relief efforts. Get insights on available grants, loans, and legislative developments to support healthcare providers during the pandemic. Engage in discussions and receive expert guidance on navigating the current healthcare landscape.
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Presentation Transcript
Welcome! The COVID-19 Update Forum will begin shortly. To participate with audio by phone (mute/unmute, press *6): 1. Select the gear icon on the right control panel 2. Select the Phone option 3. Be sure to enter your Audio PIN so we can help answer your questions! To participate with audio via your PC (mute/unmute using mic icon): Ensure the right mic/speakers are selected under the Computer option. Please mute yourself when you are not speaking. You can also ask questions via the Chat feature: This meeting will be recorded.
COVID-19 shpllc.com | 912-691-5711
COVID Related Funding Reminders HHS Portal for COVID-19 Testing & Treatment for Uninsured Still Open! Medicaid Portal Open until July 20, 2020! Only available if Provider received no funding in $50B General Allocation Likelihood of prorata Medicaid distribution- Low. Remaining $49.6B Still to be Allocated for Provider Relief CAH Distribution Forthcoming COVID High Impact Round #2 HHS Collected Data/Portal Closed/Distribution Forthcoming DCH Medicaid- Nothing forthcoming. Used for other purposes. shpllc.com | 912-691-5711
COVID Related Funding Reminders HHS $50B General Distribution Reconciliations Hospitals were automatically allocated these funds based on their filed cost reports. HHS then requested that hospitals submit their supporting lost revenue estimates and tax returns/financial statements into the General Distribution Portal by 6/3/2020. HHS is reconciling the tax and revenue information submitted to the portal against their automatic distributions: Based upon review of your revenue information, your organization will receive additional General Distribution funds. This payment, together with your initial payment from the $30 billion sent in April, will be your total allocation from the $50 billion general distribution. As a reminder, the methodology for this general distribution was: (Gross Receipts or Sales / 2,500,000,000,000) X 50,000,000,000 = Expected Combined General Distribution shpllc.com | 912-691-5711
COVID Related Funding Reminders SBA EIDL & EIDL Advance Still Available EIDL Advance Grant: $10,000 EIDL Loan: $150,000 max available No payments- 12 months PPP Standard vs. EZ Application 8 vs. 24 weeks Paid vs. Incurred shpllc.com | 912-691-5711
Medicare Advanced/Accelerated Payment Update on Forgiveness Legislation HR 7292-The COVID 19 Hospital Forgiveness Act Bipartisan bill co-sponsored by 40 Representatives. Limits MAPP forgiveness to hospital providers only. Critical to outreach to Federal Legislators to ensure passage of bill. shpllc.com | 912-691-5711
Medicare Advanced/Accelerated Payment Repayment/Recoupment Recoupment will begin 120 days after payment was issued by Palmetto. To bypass recoupment reconciliation process, Palmetto advises on the process to repay the advance directly: https://www.palmettogba.com/palmetto/providers.nsf/DocsR/Providers~JJ%20Part%20B~Browse%20 by%20Topic~Emergency%20and%20Disaster%20Instructions~BN7TRE5536?open Palmetto GBA offers several options to repay Accelerated/Advance Payments. Highly recommend using eServices, through the eCheck function. Secure, fast and easy. However, you may still submit a hardcopy form. You will need to access the hardcopy form on the Palmetto GBA website under Forms/Tools, then Finance/Overpayments. To use eServices, and if you are a provider administrator, you may access the eCheck sub-tab under Financial Tools, entitled Financial Forms. If you are a provider user, you must be granted permission to the Financial Tools tab by your provider administrator. The form is dynamic and contains edits to ensure that the information needed to process the payment is entered. shpllc.com | 912-691-5711
Medicare Advanced/Accelerated Payment Repayment/Recoupment Repayment Continued: The eCheck function allows payments to be sent electronically to Palmetto GBA. By using the eCheck option and selecting the option within the eCheck form indicating the payment is not associated with a demand letter, voluntary refunds can be submitted. There is no transaction fee for submitting an eCheck payment. In the form, please upload a document stating the payment is related to repaying of an Accelerated/Advance Payment. shpllc.com | 912-691-5711
Provider Relief Funding & Impact on Cost Reports Paycheck Protection Program Forgiveness Likely to require allowable cost offset as with any "forgiven" expenses or ultimately unpaid expenses. Awaiting final guidance. HHS Relief Funds Nothing in HHS FAQs regarding "other revenue" offset thusfar. Hopefully, will be clarified as not impacting allowable costs/A-8 offsets on cost report. shpllc.com | 912-691-5711
HHS Public Health Emergency Extension HHS Announces Renewal of Public Health Emergency that is set to expire on 7/25/2020. Rumor is that extension expected to last another 90 days from 7/25/2020. By extending the PHE, notable policies that will also be extended are: Medicare Inpatient 20% Add-On for COVID 19 patients. Increased federal Medicaid matching rates. Requirements that insurers cover COVID 19 testing without cost sharing. Waivers on telehealth restrictions. PHE Extension does not extend the boosted unemployment benefit Any unemployment extension must be addressed by Congressional action. shpllc.com | 912-691-5711
State of the State Key Legislation Passed During the Session HB 359: COVID-19 Immunity Bill to shield companies from legal liability unless they show gross negligence/misconduct or intentional infliction of harm. HB 888: Surprise Billing/Out-of-Network: scope is limited to emergency and non-emergency services rendered by an out of network provider at an in-network facility. Applicable for health plans under DOI purview and would establish a rate tracking mechanism overseen by DOI to determine reimbursement. (DOI would create Hospital based provider pricing data base) Budget No Medicaid cuts included in 2021 Budget. Public Health State of Emergency Extended Through August 11, 2020 Allows for enhanced coordination across government and the private sector for supply procurement, comprehensive testing, and healthcare capacity. Maintenance of expanded telehealth services through DCH/Medicaid populations. Telehealth DCH Survey: https://dch.georgia.gov/feedback-covid-19-telehealth-services-medicaid-and-peachcare-kids Requesting provider s submission on telehealth; DCH is looking for info on what s worked well for the provider and the member. shpllc.com | 912-691-5711
COVID-19 Payer Updates BCBSGA Effective from March 19 through September 30, 2020, Anthem s affiliated health plans will cover telephonic-only visits with in-network providers. Effective from March 17 through September 30, 2020, Anthem s affiliated health plans will waive member cost shares for telehealth visits from in-network providers, including visits for mental health or substance use disorders, for our fully-insured employer plans, individual plans, Medicare plans and Medicaid plans United Healthcare Extends waiver of telehealth cost-share for in-network services through 9/30/2020. More extensions likely forthcoming from commercial payer based on HHS Extension of Public Health Emergency. shpllc.com | 912-691-5711
Wrap Up & Questions shpllc.com | 912-691-5711
