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CARES ACT $ IN YOUR ACCOUNT, WHAT TO DO?
June 1,2020
John Murray
Executive Director
Alicia Weich
Member Services Coordinator
Christopher R. Anderson DC, MCS-P, CCSP®
Clinic Director Anderson Chiropractic Clinics
WCA Help Desk Contributor
Phone: (608) 256-7023
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The information contained in this presentation is for educational purposes
and is not intended to be and is not legal advice.
NO RECORDING OF ANY TYPE ALLOWED
Unauthorized Audiotaping or Videotaping or Distribution of any presentation
materials is illegal.
LEGAL NOTICE: The information contained in this presentation is for educational
purposes and is not intended to be and is not legal advice. Audiotaping and/or
videotaping are strictly PROHIBITED during the presentations. The laws, rules and
regulations regarding the establishment and operation of a healthcare facility vary
greatly from state to state and are constantly changing. Christopher Anderson, DC
does not engage in providing legal services. If legal services are required, the
services of a healthcare attorney should be retained. The information in this
presentation is for educational purposes only and should not be construed as
written policy for any federal agency. All clinical examples are based on true stories.
The patient names in the clinical examples have been changed to protect the
innocent. No part of this presentation covered by the copyright herein may be
reproduced, transmitted, transcribed, stored in a retrieval system or translated into
any language in any form by any means (graphics, electronic, mechanical, including
photocopying, recording, taping or otherwise) without the expressed written
permission of Christopher Anderson, DC. Making copies of this presentation and
distributing for profit or non-profit is ILLEGAL.
Disclaimer: The views and opinions expressed in this presentation are solely those of the authors.
We do not set practice standards. We offer this only to educate and inform.
Dr Chris Anderson
WCA Help Desk Contributor
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Updated May 14, 2020
Additional stimulus legislation providing roughly $484 billion in coronavirus relief was
signed into law by President Trump on April 24. The relief bill contains $310 billion
earmarked to replenish the Small Business Administration Paycheck Protection
Program (PPP) after the previous funds quickly ran out.
The Small Business Administration began accepting a second round of PPP loan
applications on Monday, April 27.
Additionally, HHS recently extended the deadline for providers to attest that they
received a payment from the Provider Relief Fund and accept the Terms and
Conditions. You will now have 45 days rather than 30 to complete this process.
As an example, the initial 30-day deadline for providers who received payment on
April 10, 2020, is extended to May 24 from May 9, 2020. Please note that not
returning the payment within 45 days of receipt of payment will be viewed as
acceptance of the Terms and Conditions.
https://www.cdc.gov/coronavirus/2019-ncov/community/reopen-guidance.html?deliveryName=USCDC_2067-DM26911
Reopening Guidance for Cleaning and Disinfecting Public Spaces,Workplaces, Businesses, Schools, and Homes
The document provides a general framework for cleaning and disinfection practices. The framework is based on doing the following:• Normal routine cleaning with soap and water will decrease how much of the virus is on
surfaces and objects, which reduces the risk of exposure.• Disinfection using EPA-approved disinfectants against COVID-19 can also help reduce
the risk. Frequent disinfection of surfaces and objects touched by multiple people is important.
• When EPA-approved disinfectants are not available, alternative disinfectants can be used. Do not mix bleach or other cleaning and disinfection products together. This can cause fumes that may be very dangerous to breathe in. Keep all disinfectants out of the reach of children.
SOURCE: https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html
Contact the WCA Help Desk with questions at [email protected] or 608-256-7023.
WCA is proud to present information on The Coronavirus Aid, Relief,
and Economic Security Act (CARES Act). Signed into law on March 27,
2020, the CARES Act allocated $100 billion to the Provider Relief Fund
(Relief Fund) designated for hospitals and other health care providers
due to the coronavirus response. The CARES Act allocated $50 billion
for general distribution to Medicare facilities and providers impacted
by COVID-19. The Department of Health and Human Services
released information on the Provider Relief Fund deadline for
submitting revenue information. HHS is reminding eligible providers
that they have until June 3, 2020, to accept the Terms and Conditions.
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Q. What Can I Use the Funds For?
A. The CARES Act allows small businesses to receive
forgivable loans of up to $10,000,000 to be used for
payroll, rent, health benefits, retirement benefits, utilities,
and other expenses.
Q. Am I eligible for the Relief Fund Payment?
A. All facilities and providers that received Medicare fee-for-service reimbursements in 2019, in good standing, are eligible
Q: How much will I receive?
A:Each provider will receive a portion of this initial tranche based on their share of total Medicare fee-for-service reimbursements. Medicare’s fee-for-service reimbursements during 2019 were approximately $484 billion. You can use the following formula to estimate how much you will receive:
Q: Who can I talk to at HHS about my distribution payment?
A:HHS is not taking direct inquiries from providers, and no remedy or appeals process will be available. For additional information, please call the provider support line at (866) 569-3522.
Q:How do I appeal or dispute a decision made?
A:There is no appeals or dispute process.
Q: Is this different than the CMS Accelerated and Advance Payment Program?
A:Yes. The CMS Accelerated and Advance Payment Program has delivered billions of dollars to healthcare providers to help ensure providers and suppliers have the resources needed to combat the pandemic. The CMS accelerated and advance payments are a loan that providers must pay back.
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Q:Is this a loan or a grant that I will need to pay back?
A:Retention and use of these funds are subject to certain terms and conditions. If these terms and conditions are met, payments do not need to be repaid at a later date
Q. Why is HHS paying me before I sign the Terms and Conditions?
A. HHS has stated that the primary objective of the Relief Fund Payment is to provide immediate financial assistance. Rather than wait for acceptance of the terms and conditions, HHS has decided to issue the payments first and collect the acceptances (or attestations) after.
Q. How will the payment arrive?
A. HHS has arranged for the payments to be made via ACH to each provider’s account using information on file. The payment will be marked “HHSPAYMENT.” For larger practice groups, the payment will be sent to the central billing office. If you normally receive reimbursements through a paper check, you will receive a paper check for this payment as well.
Q. Has HHS extended the attestation deadline ?
A. HHS extension of attestation from 30 to 45 days
June 3,2020
Q. What do I need to do to receive the payment?
A. After receipt of the payment, each provider will have 30 days to certify and accept the Terms and Conditions of the payment using an online portal. The CARES Act Provider Relief Fund Payment Attestation Portal is now open at: https://covid19.linkhealth.com/#/step/1
https://www.hhs.gov/provider-relief/index.html
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https://covid19.linkhealth.com/#/step/1
#1 Go to website #2 Enter Tax ID
#3 Last 6 Digits of Bank account #
And the amount of payment
#4 Review and Attest
#5 Review and fill in your Information
WCA Help Desk Attestation steps (PDF)
UPDATES:
Paycheck Protection Program (PPP)Additional Resources:
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Q. What terms and conditions are there if I accept the Relief Fund Payment?
A. All facilities or providers that accept the Relief Fund Payment must certify that:• It billed Medicare in 2019• It currently provides diagnoses, testing, or care for individuals with possible
or actual cases of COVID-19;• It is not currently terminated from participation in Medicare;• It is not currently excluded from participation in a Federal health care
program;• It does not currently have its Medicare billing privileges revoked;• The payment will only be used to prevent, prepare for, and respond to
coronavirus;
Q. What terms and conditions are there if I accept the Relief Fund Payment?
A. All facilities or providers that accept the Relief Fund Payment must certify that:• The payment shall reimburse the Recipient only for health care-related
expenses or lost revenues • that are attributable to coronavirus;• It will not use the payment to reimburse expenses or losses that have been
reimbursed from other • sources or that other sources are obligated to reimburse; and• It will not seek to collect from the patient out-of-pocket expenses in an
amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network provider.
Q. If I accept the Relief Fund Payment, am I required to take any additional steps aside from signing the attestation?A. Yes. Facilities and entities that accept Relief Fund Payments must do the following:Maintain appropriate records and cost documentation including, as applicable, documentation required by 45 CFR §75.302 – Financial Management and 45 CFR § 75.361 through 75.365 – Record Retention and Access, and other information required by future program instructions to substantiate the reimbursement of costs under this award.
• Place it in a separate Bank Account
• Transfer in exact amount checking account to justify expenses
• Keep a separate file
• Make note in Compliance program
Q. What if I do not sign the terms and conditions?
Two Options1 If you don’t return the money with 45 days of receipt it is viewed as accepting the terms & conditions.2You can return or repay the Relief Fund Payment.
SOURCE: https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html
Contact the WCA Help Desk with questions at [email protected] or 608-256-7023.
Q: If I changed my mind after I rejected a Provider Relief Fund Targeted Distribution payment through the Attestation Portal and returned the payment, can I receive a new payment?A:No, HHS will not issue a new payment to a provider that received and then subsequently rejected and returned the original payment. The provider may be considered for future distributions if it meets the eligibility criteria for that distribution.. SOURCE: https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html
Contact the WCA Help Desk with questions at [email protected] or 608-256-7023.
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Q:If a provider received two direct payments through the General Distribution, can a provider accept one payment and then reject the other payment?
A:Yes. If a provider would like to reject one payment, the provider may still accept future distribution payments. The provider must use the Payment Attestation Portal to accept or reject payments..
SOURCE: https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html
Contact the WCA Help Desk with questions at [email protected] or 608-256-7023.
Q:How can I return a payment I received under the Provider Relief Fund? A:Providers may return a payment by going into the attestation portal within 90
days of receiving payment and indicating they are rejecting the funds. The CARES Act Provider Relief Fund Payment Attestation Portal will guide providers through the attestation process to reject the funds. To return the money, the provider needs to contact their financial institution and ask the institution to refuse the received Automated Clearinghouse (ACH) credit by initiating an ACH return using the ACH return code of “R23 - Credit Entry Refused by Receiver." If a provider received the money via ACH they must return the money via ACH. If a provider was paid via paper check, after rejecting the payment in the attestation portal, the provider should destroy the check if not deposited or mail a paper check to UnitedHealth Group with notification of their request to return the funds.
Q:How should a provider return a payment it received via check?A:If the provider received a payment via check and has not yet deposited it, destroy,
shred, or securely dispose of it. If the provider has already deposited the check, mail a refund check for the full amount, payable to “UnitedHealth Group” to the address below. Please list the check number from the original Provider Relief Fund ACH payment or check in the memo. UnitedHealth Group Attention: CARES Act Provider Relief Fund PO Box 31376 Salt Lake City, UT 84131-0376
SOURCE: https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html
Contact the WCA Help Desk with questions at [email protected] or 608-256-7023.
Q:How does a provider who received an electronic payment return funding if their financialinstitution will not allow them to return the payment electronically?
A:Contact UnitedHealth Group’s Provider Support Line at (866) 569-3522.
SOURCE: https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/index.html
Contact the WCA Help Desk with questions at [email protected] or 608-256-7023.
Dr Chris AndersonWCA Help Desk Contributor
Alicia Weich
WCA Help Desk
John Murray
WCA Executive Director
QUESTIONS
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ALONE WE ARE STRONG… TOGETHER WE ARE STRONGER
Phone: (608) 256-7023
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