Skip to content
Sales: 888-357-3226

Medical Billers and Coders Logo
  • Our Specialties
      • We Excel In
      • Ambulance Transportation
      • ASC
      • Wound Care
      • DME
      • Oncology
      • Optometry
      • More Specialties »
      • We Dominate Over
      • Florida
      • Illinois
      • Ohio
      • Georgia
      • New York
      • Texas
      • New Jersey
      • We also Serve in »
      • Our Reach
      • Atlanta
      • Chicago
      • Dallas
      • Houston
      • Jacksonville
      • New York
      • Philadelphia
      • We also Serve in »
  • Services
      • Medical Billing
      • Charge Entry
      • Payment Posting
      • Account Receivable
      • Denial Management & Appeals
      • RCM Services
      • Medical Coding
      • Physician Credentialing
      • Physician Group
      • Outsourced Services
  • Resource Center
      • Best Billing Practices
      • Specialty Billing Guideline
      • Press Release
      • Newsletter
      • Billing Insight
      • Billing and Coding Updates
      • Billers and Coders Digest
      • Something of Interest
      • Infographics
      • Quiz
      • Glossary
      • Case Study
      • In house Blogs
      • Medical Billing Blog
      • DME Billing Blog
      • Pharmacy Billing Blog
  • Articles / Blogs
    • Articles
    • MBC Blog
    • DME Blog
    • Pharmacy Blog
  • Company
    • About Us
    • Contact Us
    • Careers
Read our latest medical billing and coding blogs
  • Contact
  • Sample Page
  • Subscribe
  • UnSubscribe

Leading Medical Billing Company in the US.

Helping Physician Groups to Stay Profitable

With Transparent RCM Services

Contact us today!

Don’t let your accounts receivables

Stress you?


Contact our Account Receivables Specialist today!

Contact Now

$ can come consistently

MBC is the solution

Request a Quote

  1. Home
  2. Medical Billing Services
  3. Provider Relief Funds – Post-Payment Reporting Requirements

Provider Relief Funds – Post-Payment Reporting Requirements

The Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program (PPP) and Health Care Enhancement Act, allocated funds to reimburse eligible healthcare providers for healthcare-related expenses or lost revenues attributable to the coronavirus. Health Resources and Services Administration (HRSA) distributes these funds through the CARES Act PRF program. According to the update Provider Relief Fund (PRF), recipients who received one or more payments exceeding $10,000 in the aggregate of the data elements will be required to report as part of the post-payment reporting process.

CARES Act Provider Relief Fund

The Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program and Health Care Enhancement Act established the Provider Relief Fund. American workers, families, and the valiant healthcare providers in the combat against the COVID-19 outbreak are supported by The Provider Relief Funds.

The purpose of this $175 billion relief fund is to provide financial support to providers who are impacted by COVID-19 resulting in either necessary expenses or declines in revenue attributable to the coronavirus. Healthcare-related expenses or lost revenue attributable to COVID-19 can be supported using the Provider Relief Fund disbursements so long as the terms and conditions relevant to the particular allocation are met and the funds are utilized “to prepare for, prevent, and to counter coronavirus”.

Post-Payment Reporting Requirements

Beneficiaries of these funds agreed to Terms & Conditions requiring compliance with the reporting requirements as set out in the program instructions by the Secretary of Health and Human Services.

Secretary of HHS has determined that if any practice receives more than $150,000 total in funds from any of the COVID-19 targeted litigation (not just from the Provider Relief Fund) will need to submit reports and maintain documentation. Provider Relief Fund (PRF) recipients who received one or more payments exceeding $10,000 in the aggregate of the data elements would be required to report as part of the post-payment reporting process.

These reporting preconditions do not apply to the Rural Health Clinic Testing distribution or the Nursing Home Infection Control distribution. Reimbursements from the Health Resources & Services Administration (HRSA) Uninsured Program are excluded from these reporting requirements. However, in the future additional reporting might be announced for these payments.

Reporting Guidance on Use of Funds

Use of Provider Relief Fund payments by recipients will have to be reported by submitting the following information:

  • Healthcare-related expenses that are attributable to coronavirus that another source is not obligated to reimburse or has not reimbursed, which may include healthcare-related operating expenses (further defined within the data elements section below) or General and Administrative (G&A).
  • PRF payment amounts not fully expended on healthcare-related costs related to coronavirus are then added to lost revenues, depicted as a negative change in net operating income of patient care year-over-year (i.e., patient care revenue less patient care-related expenses for the Reporting Agency, described below that received funding), net of healthcare-related expenses attributable to coronavirus calculated under step 1.Up to the sum of their 2019 net benefit from healthcare-related sources, recipients can apply Provider Relief Fund payments to lost revenue. Provider Relief Fund amounts may be applied to lost earnings up to a net-zero gain/loss in 2020 by recipients who reported negative net operating income from patient care in 2019.

If by the end of the calendar year 2020, beneficiaries do not expend Provider Relief Fund funds, they will have an additional six months to use the remaining sums for expenditures due to coronavirus, but not reimbursed by any other sources, or to apply for lost revenues in a sum not to exceed the net gain of 2019. For example, the reporting period January 2021 – June 2021 will be matched to the same period in the year 2019.

About Medical Billers and Coders

We are catering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling services that range from revenue cycle management to ICD-10 testing solutions. The main goal of our organization is to assist physicians looking for billers and coders.

Posted by Medical Billers and Coders November 25, 2020November 27, 2020Medical Billing Services

Post navigation

Previous: Telehealth and Physical Therapy
Next: How to calculate healthcare productivity?

Search Our Blog Posts

Get a Quote

Are you looking for more than one billing quotes?

Categories

  • Categories
    • Accounts Receivables
    • Ambulance Billing Services
    • Ambulance Transportation Billing Services
    • Ambulatory Surgical Centers
    • Behavioral Health Billing
    • Cardiology Billing Services
    • Chiropractic Billing Services
    • Claims Denials
    • Credentialing Services
    • Dental Billing Services
    • Dermatology Billing Services
    • DME Billing Services
    • EMR / EHR / Health IT
    • EMS Billing Services
    • ENT Billing Services
    • Family Practice Billing Services
    • Gastroenterology Billing Services
    • General Surgery Billing Services
    • Geriatrics Billing Services
    • Health Insurance
    • Healthcare Reforms
    • HIPAA / ACA / ACO
    • Hospitalist Billing
    • Infographics
    • Insurance / Payer
    • Internal Medicine Billing Services
    • Medical Billing Services
    • Medical Coding
    • Mental Health Billing Services
    • Neurology Billing Services
    • OB Gyn Billing Services
    • Occupational Therapy
    • Oncology Billing Services
    • Optometry Billing Services
    • Orthopedics billing services
    • Otolaryngology Billing Services
    • Pain Management Billing Services
    • Pathology Billing Services
    • Payment Models
    • Pharmacy Billing Services
    • Physical Therapy Billing Services
    • Physicians/ Doctors
    • Plastic Surgery Billing Services
    • Podiatry Billing Services
    • Practice Administration
    • Practice Management
    • Primary Health Care
    • Radiology Billing Services
    • Revenue Cycle Management (RCM)
    • Skilled Nursing Facilities Billing Services
    • Specialty
    • Uncategorized
    • Urology Billing Services
    • Wound Care Billing Services
  • Recent Posts

    • Benchmarking Wound Care Billing Success
    • Balancing Cardiology Quality Care and Financial Health
    • Human Element of RCM: Building Strong Teams for Financial Success
    • What happens to Patient Collections in Wound Care Billing?
    • Turning Denials into Dollars: Optimizing Revenue Recovery from Denied Claims

    Catering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling services that range from revenue cycle management to ICD-10 testing solutions. The main goal of our organization is to assist physicians looking for billers and coders, at the same time help billing specialists looking for jobs, reach the right place.

    Connect with us

    info@medicalbillersandcoders.com

    Company

    • About Us
    • We Excel In
    • We Dominate Over
    • Testimonials
    • FAQ
    • Privacy Policy
    • Healthcare Analytics

    Services

    • Physicians
    • RCM Services
    • Transcription
    • Consultancy
    • Medical Coding
    • Hospital Billing
    • Medical Billing Outsourcing

    Resources

    • Best Billing Practices
    • Articles
    • Press Release
    • Case Study
    • Billing Guidelines
    • Medical Billing Quiz
    • Billing Bytes

    HIPAA

    ICD-10

    • ICD-10 Services
    • ICD-9 to ICD-10
    • ICD-10-E-book

    Refer a Friend

    HTML Sitemap

    Copyright © 2023 Medical Billers and Coders All Rights Reserved.

    REQUEST A CALL BACK

    Are you looking for more than one billing quotes?