AMA: HHS updates ‘Provider Relief Fund’ FAQ

The American Medical Association (AMA) reports that the U.S. Department of Health and Human Services (HHS) has updated the FAQ section on its COVID-19 ‘Provider Relief Fund General Distribution Portal.’

AMA is flagging two FAQ that have been added or revised…

How did HHS determine the additional payments under the General Distribution?

HHS is distributing an additional $20 billion of the General Distribution to providers to augment their initial allocation so that $50 billion is allocated proportional to providers’ share of 2018 net patient revenue. The allocation methodology is designed to provide relief to providers, who bill Medicare fee-for-service, with at least 2% of that provider’s net patient revenue regardless of the provider’s payer mix. Payments are determined based on the lesser of 2% of a provider’s 2018 (or most recent complete tax year) net patient revenue or the sum of incurred losses for March and April. If the initial General Distribution payment you received between April 10 and April 17 was determined to be at least 2% of your annual patient revenue, you will not receive additional General Distribution payments.

How can I estimate 2% of patient revenue to determine my approximate General Distribution payment?

In general, providers can estimate payments from the General Distribution of approximately 2% of 2018 (or most recent complete tax year) patient revenue. To estimate your payment, use this equation: (Individual Provider Revenues/$2.5 trillion) X $50 billion = Expected Combined General Distribution. To estimate your payment, you may need to use “Gross Receipts or Sales” or “Program Service Revenue.” Providers should work with a tax professional for accurate submission.

This includes any payments under the first $30 billion general distribution as well as under the $20 billion general distribution allocations. Providers may not receive a second distribution payment if the provider received a first distribution payment of equal to or more than 2% of patient revenue.

AMA also notes that HHS has posted a list of providers who have received and accepted money from the Provider Relief Fund.

Revised HHS COVID-19 ‘Provider Relief Fund’ FAQ