Next round of Provider Relief Funding announced by the Department of Health and Human Services

Next round of Provider Relief Funding announced by the Department of Health and Human Services

The Department of Health and Human Services (HHS) has announced another round of Provider Relief Funding (PRF) and the terms of the Medicare Accelerated and Advanced Payment Program have recently been modified.  The third round of PRF payments and applications are available and may be submitted on October 5, 2020 through November 6, 2020.

An article written by Rebecca Farrington, Chief Revenue Officer of Healthcare Administrative Partners, outlines the eligibility criteria for practices to be able to apply for this new phase of PRF, the application process and reporting requirements.  The  comparison of the original terms to the revised terms of PRF and Medicare Advance Payment Program is shown in the two tables below.  Click here to read the full article.

Provider Relief Fund Original Terms Revised Terms
Reporting level Quarterly if $150,000 or more was received Once or twice if $10,000 or more was received
Reporting timetable By February 15, 2021 for funds expended in 2020 ·         By February 15, 2021 for funds expended in 2020

·         By July 31, 2021 for funds expended after 2020

Reporting portal Opens October 1, 2020 Opens January 15, 2021

Table 1: Source “Federal Provider Relief Programs Are Continuously Changing”.

 

Medicare Advance Original Terms Revised Terms
Repayment begins 120 days after receipt of funds 365 days after receipt of funds
Repayment schedule 100% of claims payments due to practice once repayment begins ·         25% of claims payments for 11 months, then

·         50% of claims payments for 6 months

Repayment deadline 210 days after receipt of funds September 2022
Interest rate after repayment deadline 10.25% 4.00%
Option to repay sooner Practices should contact their local Medicare carrier No change

Table 2: Source “Federal Provider Relief Programs Are Continuously Changing”.

Further details on reporting requirements can be found in this announcement published on October 22nd by the Department of Health and Human Services.

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Sam Dean
Kim Ginevan, MD, Assistant Managing Director
Spectrum Healthcare Partners
Portland, ME
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“After joining PNPL, our pathology group in Arizona (one of the largest in the nation) found expert advice on billing, coding and digital pathology, as well as suggestions and support for our negotiations with United Healthcare. The PNPL team is full of experts in the pathology space who are sharing best practices, tools and templates that allow for knowledge in the industry. I highly recommend joining this think tank and look forward to continuing our relationship.”

Lucy Crowe
Sarina Rodriques, Former Chief Operating Officer
Pathology Specialists of Arizona
Phoenix, AZ
Slide 4

“Joining PNPL has been invaluable. I’ve gained not only resources and insights that strengthen our pathology practice, but also a supportive community and network of colleagues who truly understand our field. PNPL is where collaboration, advocacy, thought provoking ideas, best practice, and professional growth come together — I encourage every pathology group to be part of it.”

Jennifer Pinasco, MHA, Chief Executive Officer
Yosemite Pathology | Precision Pathology
Modesto, CA
Design Director
Slide 5

“Membership in PNPL offers IU the ability to see the pathology field as a whole, rather than looking solely through the academic lens. The interaction with PNPL’s private practice groups allows me to understand their ‘pain points.’ Since our academic group includes community practices at the outlying hospitals, we too are feeling some of the same pain. Access to benchmarks from both academic and private practices has also been invaluable as I address issues on the academic side.”

Andrea Ligler, MBA, Vice Chair Clinical and Academic Administration
Department of Pathology and Laboratory Medicine
Indiana University School of Medicine
Indianapolis, IN
Design Director
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