CARES Act Provider Relief Fund

by Greg Wertz | Apr 14, 2020

In follow-up to the CARES Act Provider Relief Fund payments made this past Friday via direct deposit under the title “HHSPAYMENT”, HHS has identified provider eligibility as follows:

  1. All facilities and providers that received Medicare fee-for-service (FFS) reimbursements in 2019.
  2. All relief payments are made to the billing organization according to its Taxpayer Identification Number (TIN).
  3. As a condition to receiving these funds, providers must agree not to seek collection of out-of-pocket payments from a COVID-19 patient that are greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network provider.

 

Additionally, HHS has provided guidance on what to do if you are an eligible provider:

  1. Within 30 days of receiving the payment, providers must sign an attestation confirming receipt of the funds and agreeing to the terms and conditions of payment. The portal for signing the attestation will be open the week of April 13, 2020.
  2. HHS' payment of this initial tranche of funds is conditioned on the healthcare provider's acceptance of the Terms and Conditions – PDF (below), which acceptance must occur within 30 days of receipt of payment.  If a provider receives payment and does not wish to comply with these Terms and Conditions, the provider must do the following: contact HHS within 30 days of receipt of payment and then remit the full payment to HHS as instructed.  Appropriate contact information will be provided soon. 

 

This Provider Relief Fund, which differs from the CMS accelerated and advanced relief payment, is not an advance on Medicare beneficiary payments and as such is not interwoven with our MBMS billing or accounting operations. This said, our team is positioned to support providing the terms and conditions of this HHS payment only. However, we are poised to provide any and all up-to-date information to assist our practices in gaining clarity to these terms and condition left up for interpretation. Finally, we encourage the use of legal counsel where necessary to assist in the process of deciding upon the retention of these funds while fulfilling all terms and conditions.

Our MBMS team would like to provide the below Department of Health and Human Services: Relief Fund Payment Terms and Conditions. We ask that each practice that has received a portion of this $30 billion carefully review to determine if the HHS Payment meets these terms and conditions. 
 
Department of Health & Human Services Relief Fund Payment Terms & Conditions

Article Author:
Gregory D. Wertz, MS 
Director of Industry Research and Relations
MBMS, LLC
gwertz@mbms.net 

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