News You Can Use

Next Round of HHS PRF Funding Opportunities & COVID Update – Webinar Reminder

Next Round of HHS PRF Funding Opportunities & COVID Update – Webinar Reminder

Good morning! As a reminder, SHP will be hosting our next COVID update today, September 29, 2021 at 12:00 noon.  Please join us for updates on the next round of funding opportunities which also opened today. This funding opportunity includes a Phase 4 General Distribution and the Rural Health distribution that was allocated under the American Rescue Plan. Additionally, we’ll touch on the latest HHS PRF Reporting grace period and the Phase 3 General Distribution reconsideration process.  In order to join us for this webinar; please use the following link:

https://bit.ly/3u5IXQL

Please be aware that we are transitioning to the Microsoft Teams platform for our upcoming webinars; therefore, if you are new to the Teams platform, we recommend logging in 5-10 minutes prior to the meeting start time to ensure that you can access the meeting with no issues. We look forward to talking with you then!

SAMGMA May Meeting – Market Update by SHP

SAMGMA May Meeting – Market Update by SHP

We would like to thank the Savannah Area Medical Group Management Association for inviting us to their monthly luncheon this week. A great group of engaged Administrators from the area, representing a dynamic and diverse set of providers.

This discussion included updates regarding COVID activity such as the HHS Provider Relief Fund and Medicare prepayment recoupments, Regulatory Activity, and Payer Activity in their market. A look at events that has impacted you, or soon will be, regardless of setting, size or specialty. An external view of the market always make for productive conversation.

Thank you again to Allison Griffin and Trish Rotureau for spearheading the group and the opportunity.

Click here to download the meeting’s PowerPoint.

Upcoming Spring Webinars – Georgia Legislative Session Recap & Surprise Billing Legislation

Upcoming Spring Webinars – Georgia Legislative Session Recap & Surprise Billing Legislation

SHP is excited to announce two upcoming webinars this Spring. These timely webinars will delve into the most recent healthcare changes from the 2021 legislative session as well as how to understand the rules issued by the DOI for Surprise Billing. Join these free webinars with the links below. We will also post recordings and material in our webinar archive after the session.

Wednesday, April 14, 2021 at 12:00 noon: Georgia Legislative Session Recap

Please join SHP’s Legislative Affairs Team for a recap of key legislation from the 2021 session and to understand what bills will impact you in the coming year! A mini COVID update will be provided with the latest news from HHS and the American Rescue Plan. Use this link to join us at 12:00pm Eastern on Wed. April 14th!

Wednesday, May 5, 2021 at 12:00 noon: Georgia’s Surprise Billing Legislation

SHP will be joined by Michele Madison pf Morris, Manning & Martin to discuss the enactment of Georgia HB 888 for Surprise Billing by healthcare providers. HB 888 took effect on 1/1/2021 utilizing a set of operational rules and regulations developed by the Department of Insurance (DOI). Join us at this link to learn about the impact that this will have on your operations on Wed. May 5th!

Updated Evaluation & Management Services Guidelines

Updated Evaluation & Management Services Guidelines

The AMA just released additional technical revisions to E&M coding; which were overhauled on January 1, 2021 to hopefully simplify documentation and coding requirements for codes 99202-99215. We’re therefore pleased to share the latest guide that we have generated regarding the new documentation standards. As health plans continue to aggressively audit services; we do think it will be worthwhile to internally audit your E&M documentation in accordance with the new standards as these vary so greatly against previous documentation requirements. If you have any questions or concerns regarding the new standards, please let us know. Thank you.

Download the E&M Services Guidelines here.

Register for SHP’s American Rescue Act Webinar

Register for SHP’s American Rescue Act Webinar

Following the passage of the American Rescue Act; the fourth stimulus package tied to the ongoing COVID crisis, we’re pleased to announce an upcoming webinar that will detail the key healthcare and employer/business provisions included in the legislation. Please join us on Thursday, March 18, 2021 from 12:00-12:45 p.m. to learn more.

For the best experience, please join us via the link below:

https://www.gotomeet.me/Strategic-Healthcare/the-american-rescue-plan

News You Can Use – January 2021

News You Can Use – January 2021

  1. Congress Passes New and Additional Support For Health Care Providers, Patients, COVID-19 Mitigation and Vaccination Link
  2. Hospital Price Transparency – Appeals court ruling paves way for price transparency rule to go into effect on January 1, 2021. Link
  3. CMS Final Rule: CY 2021 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Link
  4. CMS Announces New Model to Advance Regional Value-Based Care in Medicare Link
  5. Trump Administration Finalizes Permanent Expansion of Medicare Telehealth Services and Improved Payment for Time Doctors Spend with Patients. Link
  6. Application Deadline for CHART Model Extended Link

COVID Update – January 2021

  1. HHS Funding Link
    1. Recipients of Payments more than $10,000 in the aggregate under the following distributions.
      1. General Distributions
        1. Phase #1-Medicare
        2. Phase #2-Net Patient Revenue
        3. Phase #3-Equality for Net Patient Revenue across more provider types plus additional allocation (undefined at this point) based on lost revenue
      2. Targeted Distributions
        1. Safety Net Hospital
        2. Rural Hospital & Rural Health Clinic
        3. COVID High Impact Rounds 1 & 2
        4. Medicaid Distribution
    2. Reminder- Original terms and conditions: Recipients agree that funds will only be used to prevent, prepare for, and respond to COVID and shall reimburse recipient only for health care-related expenses or lost revenues attributable to coronavirus.
  2. HRSA – COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment and Vaccine Administration. OverviewFAQ
    1. Telehealth Updates
      1. CMS
        1. Official guidance on diagnoses from telehealth services for risk adjustment: What you need to know Link
        2. Telemedicine Health Care Provider Fact Sheet Link
        3. List of services payable under the MPFS when furnished via telehealth Link
      2. HHS – Telehealth Guide to Delivering Care Safely During COVID-19 Link

HHS Funding – Who is Required to Report?

  1. Recipients of Payments more than $10,000 in the aggregate under the following distributions:
  2. General Distributions:
    1. Phase #1-Medicare
    2. Phase #2-Net Patient Revenue
    3. Phase #3-Equality for Net Patient Revenue across more provider types plus additional allocation (undefined at this point) based on lost revenue
  3. Targeted Distributions:
    1. Safety Net Hospital
    2. Rural Hospital & Rural Health Clinic
    3. COVID High Impact Rounds 1 & 2
    4. Medicaid Distribution
  4. Reminder- Original terms and conditions: Recipients agree that funds will only be used to prevent, prepare for, and respond to Covid and shall reimburse recipient only for health care-related expenses or lost revenues attributable to coronavirus.
  5. Are any HHS/HRSA Funds Excluded from this Reporting? Yes! These final reporting requirements do not apply to:
    1. Nursing Home Infection Control distribution recipients
    2. Rural Health Clinic Testing distribution recipients
    3. Health Resources and Services Administration (HRSA) Uninsured Program reimbursement recipients
Register for Your Seat at SHP’s QPP Final Rule Webinar

Register for Your Seat at SHP’s QPP Final Rule Webinar

Just under the wire! On Dec 1st, CMS just released the long-anticipated QPP 2021 Final Rule. This next Wednesday, Dec 9th @ 12PM EST, SHP is offering a free webinar to bring you up-to-speed on the latest changes to QPP (MIPS & APMs) that go into effect on Jan. 1st, 2021.

Register now to reserve your spot. Hurry, seats are limited!

Webinar Agenda:

  • Results from the 2019 Reporting Year
  • Exemptions, including COVID-19 & Hardship
  • Changes for MIPS
  • Changes for APMs
  • Q&A