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provider relief fund -loss of income
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6/29/2021 @ 7:34:00 AM
Post 1 of 6

Contributor: Nagaratna Reddy, Reddy Family Medical Clinic Donaldsonville

If we have hired two new providers and income is same from the year before how do you justify loss of income? Can we divide the  total income by number of providers for both years and show the loss as when you have added new providers it should be more but the total income is   is around the same. Please clarify

Thank you

6/29/2021 @ 9:42:00 AM
Post 2 of 6

Contributor: Nathan Baugh, National Association of Rural Health Clinics

Hello Nagaratna,

I am not really sure I understand the approach you are describing. The Provider Relief Fund has three different ways to calculate lost revenue (they don't use the word income):

Lost Revenues Reimbursement


  • Recipients may choose to apply PRF payments toward lost revenues using one of three options and appropriate documentation for each will be required:


    1. The difference between actual patient care revenues in the quarters before COVID (2019 or Q1 2020*) and the actual patient care revenues in the quarters during COVID;

    2. The difference between budgeted (prior to March 27, 2020) and actual patient care revenues - To be considered an approved budget, the budget must have been ratified, certified, or adopted by the Reporting Entity’s financial executive or executive officer as of that date, and the Reporting Entity will be required to attest that the budget was established and approved on or before March 26, 2020.

    3. Calculated by any reasonable method of estimating revenues.




I don't think you can estimate revenue per clinician to show a loss but perhaps someone else has a different take on that approach...

Does your RHC have any unreimbursed expenses that you could use the funding for first?


6/30/2021 @ 10:31:00 AM
Post 3 of 6

Contributor: Tim Wolters, Citizens Memorial Healthcare RHCs

Some of the early HHS guidance referred to bottom-line income, but now the lost revenue discussion all focuses on top-line revenue. If you added 2 new providers and have a 2020 budget that showed expectation for more revenue, but you didn't hit that budget, that should justify lost revenue treatment under the Provider Relief Fund (Option 2 under Nathan's post). If you didn't have a budget, you'd have to try Option 3, "any reasonable method" of estimating lost revenues. So, if you have $2.5 million in revenue for 2019, with 5 providers, that's $500,000 in revenue generated per provider. If you increased to 7 providers in 2020, you could assume you should generate $3.5 million in revenue using the $500,000 average. If you only generated $2.9 million because of COVID suppressing the volume you generated, you could argue under Option 3 that's $600,000 of lost revenue. No guarantee HHS will buy it, but could be worth a shot. As Nathan notes, HHS wants you to document your unreimbursed expenses first.

Tim Wolters
Director of Reimbursement
Citizens Memorial Hospital
1500 North Oakland
Bolivar, MO 65613
tim.wolters@citizensmemorial.com
Phone 417-328-7286
Fax 417-328-6242

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6/30/2021 @ 11:23:00 AM
Post 4 of 6

Contributor: Nagaratna Reddy, Reddy Family Medical Clinic Donaldsonville

 Thank you so much. It makes senseIn a message dated 6/30/2021 9:31:59 AM Central Standard Time, narhc-news@forum.narhc.org writes: 

7/1/2021 @ 10:09:00 AM
Post 5 of 6

Contributor: Nathan Baugh, National Association of Rural Health Clinics

Just wanted to point out that the Provider Relief Fund reporting portal is now open and the PRF Reporting and Auditing page has new resources posted to explain the reporting process: https://www.hhs.gov/coronavirus/cares-act-provider-relief-fund/reporting-auditing/index.html

7/1/2021 @ 10:11:00 AM
Post 6 of 6

Contributor: Anna Bennett, Baptist Health RHCs

I am on PTO.  If you need assistance, please contact Monica Kramolis at monica.kramolis@baptist-health.org, 501-887-3511 or 501-206-4613.


--
Thank you!

Anna Bennett, CRHCP
Clinic Manager
BH HS RHC Network
501-887-3510 o
501-691-3766 c
501-887-3515 f



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