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HHS Requirements: Stop Loss of Provider Relief Funds

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HHS Requirements: Stop Loss of Provider Relief Funds

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HHS Reporting Requirements Original

QUESTION: Our practice received two emergency relief fund distributions from HHS. We are pleased for the help, but worried we are not complying with the related rules. What are the specific usage and reporting requirements for these funds so we can correctly comply?

Question from Dayton, Ohio Subscriber

 

ANSWER: You are not alone if you are wondering how to manage the funds that just showed up in your bank account one day from the Department of Health and Human Services (HHS).  Under the CARES Act, more than $175 million was distributed as financial relief to hospitals and healthcare practices who prevent, prepare for, and respond to COVID-19.

The problem is that the speed in which the relief funds went out made it impossible to finalize utilization and reporting rules. So, everyone that received the money is confused. So, now what?

Practice management experts advise keeping the money to help your practice, paying back any overpayments, and establishing clean reporting. By receiving and accepting these funds, you’re bound to the following compliance steps.

  • Sign attestation. If you were allocated a payment you have to sign an attestation within 90 days of payment confirming you received the funds and agree to the terms and conditions. You can also reject funds via this portal. Failing to accept or reject the funds within 90 days of receipt will be viewed as an acceptance of the Terms & Conditions.
  • Submit financial data. If you received automatic funds prior to 5:00 pm, Friday, April 24th, you have to submit tax forms or financial statements and agree to the Terms and Conditions, to keep your funds. This also serves as an application for additional funding.

Look to Terms & Conditions for HHS Provider Relief Fund Reporting Guidance

Although formal management and reporting guidelines are still pending, there are things you can do to improve your chances of compliance. HHS is pointing providers who receive Provider Relief Fund payments to their Terms & Conditions for reporting instructions. If you receive more than $150,000 in funds you must submit a report to the Secretary and the Pandemic Response Accountability Committee, no later than 10 days after the end of each calendar quarter, beginning with the quarter ending June 30.

Your report must include:

  • The total amount of funds that you received from HHS.
  • The amount that you spent or committed to for each project or activity.
  • A detailed list of all projects or activities that you spent or committed funds to. You must include the project’s name and description, how many (estimated) jobs were created or retained by the project, and detailed information on sub-contracts or subgrants awarded by the covered recipient or its subcontractors or subgrantees.

Stay tuned for future guidance: HHS has stated that they will provide guidance in the future about the type of documentation they expect recipients to submit. In the meantime, you can check out their CARES Fund Provider Relief Fund FAQs, and keep your eyes on HHS website for updates.

Be warned that the DOJ will be prioritizing COVID-19 fraud. Per a statement by Attorney General William Barr, the DOJ is committed to pursuing fraud in healthcare and violations from whistle blowers, and they will investigate and prosecute criminal conduct related to the pandemic.

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Training Available: For more strategies on how can you protect yourself and your practice from the repercussions of noncompliance with rules you may not even have been aware of, join the online trainingAvoid Losing COVID-19 Provider Emergency Relief Fund Payments,” from healthcare attorney, Kristyn DeFilipp, Esq. She will walk you through EXACTLY what you are required to do to keep the emergency relief money you’ve received. Kristyn will provide you with an up-to-date, plain-English breakdown of your obligations, and help you decipher each relief fund requirement so you can hang on to the money.


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Meet Your Writer

Kristyn DeFilipp
Esq.

Kristyn DeFilipp’s litigation practice focuses on healthcare adjacent disputes, complex commercial litigation, and labor and employment issues. Kristyn’s experience is wide-ranging, and includes matters before state and federal courts, administrative agencies, and arbitrators. Kristyn focuses on strategic and cost-effective solutions for business disputes, and enjoys working closely with clients to determine the best course of action to achieve their goals. She counsels clients in every phase of litigation, from pre-dispute discussions to mediation, through trials, arbitrations and appeals. Kristyn has significant trial experience in state and federal courts, as well as administrative agencies. Kristyn litigates complex matters including disputes related to: healthcare regulation and reimbursement; commercial contracts and licensing; trade secrets and non-competition agreements; compliance with FDA quality system regulations and current good manufacturing practices; closely held corporations; products liability and mergers and acquisitions. She regularly advises clients in the life sciences, high tech and healthcare industries, including multi-national corporations, early stage companies, health care providers and trade associations, as well as clients in the education sector. Kristyn also advises and represents corporations in all aspects of labor and employment law. Kristyn is experienced in defending clients against discrimination, harassment, and wage and hour lawsuits. She has experience in labor arbitrations involving unions, including disputes involving just cause termination and organizing campaigns. In addition, Kristyn provides advice to clients on all employment-related topics. Kristyn plays an active role in internal firm matters. She co-chairs the firm’s Women’s Forum, and sits on the firm’s Hiring Committee and Working Group on Associate Development and Retention. She is also active in the firm’s pro bono program. Her pro bono practice is varied, and includes litigating issues related to civil rights, such as fair housing, restraining orders for protection against abuse for victims of domestic violence; special education matters; immigration matters; and claims for veterans benefits. Kristyn previously served as a Special Assistant District Attorney for Norfolk County, where she represented the Commonwealth of Massachusetts in all stages of criminal prosecutions, including bench and jury trials. Kristyn is passionate about the advancement of women in the workplace. In addition to her role as Women’s Forum co-chair, she participates in the firm’s Women’s Mentoring Circles. Outside of the office, she serves as a Commissioner on the Melrose Commission on Women.