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CMS UPDATES MEDICARE ENROLLMENT INSTRUCTIONS

 Volume 22.12 Effective December 5, 2022, certain modifications have been made to Chapter 10 of the Medicare Program Integrity Manual dealing primarily with “Ownership Disclosures”, “Electronic Funds Transfers”, and “Special Payment Addresses”. MM12880 - Provider...

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MAJOR REVISIONS MADE TO HOME OFFICE COST REPORT

Volume 22.10 The U.S. Centers for Medicare & Medicaid Services has released Home Office Cost Statement, Form CMS-287-22 (“Home Office Cost Report”).  R1P248i | CMS The new Home Office Cost Report (CMS-287-22) is effective for cost reporting periods beginning on or...

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REPAYMENT AND RECOVERY OF COVID-19 CAAP

 Volume 22.09 In March 2021, CMS began recovering COVID-19 Accelerated and Advance Payment (“CAAP”) balances.  After one year, the recovery of the advanced monies was made at twenty-five percent (25%) over eleven months, followed by fifty percent (50%) over the...

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OIG EXCLUSION LIST UPDATED

Volume 22.08 The Office of Inspector General (“OIG”) has the authority to exclude individuals and entities from Federally funded health care programs pursuant to section 1128 of the Social Security Act ("Act") (and from Medicare and State health care programs under...

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CMS REVALIDATION LIST MAY NOT BE UP TO DATE

Volume 22.07 Medicare providers are required to revalidate information contained in the Medicare enrollment records on a periodic basis to ensure all information on file is accurate and compliant with Medicare regulations. Revalidation was paused because of the...

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COVID-19 PHE EXTENDED AGAIN

 Volume 22.04 The Biden administration on Wednesday extended the COVID-19 public health emergency that had been due to expire on April 16.  The 90-day extension, announced by the Department of Health and Human Services (HHS), will allow millions of Americans covered...

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REPORTING FOR USE OF PROVIDER RELIEF FUNDS

Volume 22.03 Many providers are confused regarding the required reporting for the use of Provider Relief Funds (“PRF”).  Reporting timelines are based on when the funds were received by the provider.  The following summarizes when funds must be used and reported to...

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PROVIDER RELIEF FUND (PHASE 4) UPDATE

Volume 21.11 Providers can apply for the new, Phase 4, Provider Relief Funds beginning September 29, 2021.  The application period will run through October 26, 2021.  The application will be made in the Provider Relief Application and Attestation Portal.  Providers...

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PHASE 4 COVID-19 PHE PROVIDER FUNDING

Volume 21.06 HHS Press Release: “The Biden-Harris Administration announced today that the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), is making $25.5 billion in new funding available for health...

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MEDICARE ENROLLMENT UPDATES

Volume 21.08 CMS has temporarily ceased revalidations for Medicare providers and suppliers because of the COVID-19 PHE.  CMS is not issuing any revalidation notices, deactivating providers for any failure to respond to revalidation requests and is not updating...

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LONG AWAITED UPDATES TO PRF REPORTING DATES

Volume 21.07 The U.S. Department of Health and Human Services (“HHS”) has released updated reporting requirements for the use of Provider Relief Funds (“PRF”). The period of availability of funds is based on the date the payment is received (rather than requiring all...

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COVID-19 PHE AND MEDICARE COST REPORTS

Volume 21.05 We previously reported regarding the impact of the COVID-19 PHE and Medicare cost reports; however, based on numerous inquiries, we are pleased to provide the following information. Filing Deadlines – For cost reports covering periods through December 31,...

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CARE FUND REPORTING PORTAL OPEN FOR REGISTRATION

Volume 21.02 As you probably know, earlier today the Health Resources & Services Administration (“HRSA”) has opened the Provider Relief Fund Reporting Portal for registration, but not for reporting the use of Provider Relief Funds (“PRF”).  Reporting has again...

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COST REPORTING UPDATES COST REPORT EXTENSIONS

Volume 21.01 On January 5, 2021, CMS has updated the list of cost report filing extensions as follows: For all cost reports with cost reporting periods ended on March 1, 2020 through December 31, 2020, providers are granted an additional sixty (60) days from the...

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PPP LOAN FORGIVENESS TAX IMPACT WILL BE IN 2020

Volume 20.36 Many healthcare providers are taxable entities and secured PPP loans.  These providers, like other businesses, were taken off guard when the IRS determined that qualifying expenses would not be deductible once loan forgiveness was secured.  Additionally,...

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PROVIDER RELIEF FUNDING PHASE 3

Volume 20.32 The U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), has announced $20 billion in new funding for providers on the frontlines of the coronavirus pandemic. Under this Phase 3 General...

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COST REPORT FILINGS EXTENDED AGAIN

Volume 20.25 Cost report filings for the cost reporting period ended December 31, 2019 have been further extended from July 31, 2020 until August 31, 2020.  This information has been posted on the CGS website.  Expect further postings from CMS and other Medicare...

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EXPECT EXPANDED PPP LOAN FORGIVENESS

Volume 20.21 Last night, the U.S. Senate passed the House version of Paycheck Protection Program (PPP) legislation (“Paycheck Protection Flexibility Act”).  The legislation will triple the time allotted for PPP loan recipients to spend the funds and still qualify for...

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