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All News Alerts

MEDICARE PROGRAM REVALIDATIONS

Volume 21.01 We continually receive questions regarding Medicare enrollment revalidations.  CMS has temporarily ceased revalidation efforts for all Medicare providers or suppliers.  During the public health emergency, CMS will not issue any new revalidation notices,...

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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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MEDPAC CONTINUES TO PURSUE 20% CAP REDUCTION

Volume 20.16 At the recent meeting of the Medicare Payment Advisory Commission (“MedPAC”), the matter of wage adjusting the Medicare Aggregate Payment Limitation (“CAP”) and reducing the CAP by an arbitrary 20% was again discussed as MedPAC moves toward making its...

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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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CMS UPDATES MEDICAID HOSPICE PAYMENT RATES

Volume 20.15 On September 14, 2020, CMS released Medicaid payment rates for FY 2021 (beginning October 1, 2020).  The Medicaid hospice payment rates are calculated based on the annual hospice rates established under Medicare.  These rates are authorized by section...

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2020-2021 MEDICARE HOSPICE PAYMENT RATES FINALIZED

Volume 20.14 On July 31, 2020, the U.S. Centers for Medicare & Medicaid Services (“CMS”) released the final FY2021 hospice payment rule (“Rule”).  The national hospice payment rates, subject to geographical application, and the hospice CAP will increase by 2.4%...

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CMS TO RESUME “REVIEW CHOICE DEMONSTRATION”

Volume 20.06 Effective March 29, 2020, certain claims processing for the Review Choice Demonstration (“RCD”) for Home Health Services were paused in Illinois, Ohio, and Texas, because of the COVID-19 pandemic. During the pause, home health claims submitted on or after...

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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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THE HOSPICE COST REPORT AND COVID-19 PHE EXPENSES

Volume 20.13 The Hospice Cost & Data Report (“Cost Report”) was substantially modified in 2014 to facilitate the accumulation of hospice costs by level of care (“LOC”), as well as capture other information, which can be used in establishing Medicare reimbursement...

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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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SBA RELEASES PPP LOAN FORGIVENESS APPLICATION

Volume 20.18 On Friday, May 15, 2020, the SBA released the PPP Loan Forgiveness Application.  A copy of the application and instructions is available here. The Application sets forth the documentation required to verify expenses for purposes of the forgiveness...

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REPORTING TELEHEALTH COSTS

Volume 20.09 To better address the needs of patients during the COVID-19 PHE, hospices can provide telehealth services to patients receiving routine home care if feasible and appropriate.  Additionally, face-to-face encounters can now be conducted by telehealth....

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PROPOSED HOSPICE PAYMENT RULE RELEASED

Volume 20.08 The U.S. Centers for Medicare & Medicaid Services (“CMS”) has released the proposed 2021 Hospice Wage Index and Payment Rate Update, which is scheduled for publication in the Federal Register on April 15, 2020. This proposed rule would update the...

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RAP SUPPRESSION FOR HHA OWNERSHIP CHANGES

Volume 20.03 With the implementation of PDGM, newly certified home health agencies (new providers), certified after January 1, 2019, are not entitled to receive partial episode payment based on a Request for Anticipated Payment (“RAP”).  Recently, CMS has clarified...

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