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Provider Relief Fund

Article 04.28.2022 Dean Dorton

It’s a fact of life in the business world that sometimes you need to pay for something in advance, sometimes long in advance. Take software licensing, for example. In order to access critical digital tools, it may be a requirement to pay for months or years of service upfront. That’s not necessarily a bad thing. However, it comes with some unique accounting requirements.

A company that prepays for a good or service must recognize that expense as an asset on the books. Then, accountants amortize the expense within the period it was incurred. In the software licensing example, if a company paid $12,000 for one year of service, it would need to amortize $1,000 in expenses each month and transfer those to the profit and loss statement. Done correctly, the total paid upfront would steadily get smaller until it reached zero by the end of the year.

There’s nothing unusual about this process. Companies pay in advance and amortize expenses for many things: technology, insurance, equipment, interest, etc. And when they have just a few expenses to amortize, it’s fairly easy to keep the process running smoothly. When they have dozens or even hundreds of expenses, though, managing them all becomes prohibitive to put it mildly.

If accountants don’t have a dedicated tool to help them track prepaid expenses, they have to use spreadsheets, cross references, manual data entries, and diligent attention to detail. That takes lots of time and energy that accountants would rather apply elsewhere. Just as bad, it makes errors and oversights a lot more likely, which can have repercussions ranging from confusion to catastrophe.

That’s the bad news. The good news is that a dedicated tool already exists to make tracking prepaid expenses simple and seamless. Better yet, it’s free.

The Prepaid Module in Sage Intacct

Sage Intacct is a powerful and popular financial management tool built for mature or growing enterprises that need sophisticated accounting capabilities. And with the option to add-on a free prepaid expense module, Sage Intacct improves amortization like never before. That module comes with these key features:

  • Upon putting an invoice for a prepaid expense into Sage Intacct, the add-on will automatically capture information relevant to amortization like the beginning and end dates of the contract.
  • Accountants can set rules for how expenses should be amortized – consistently over time or all at once on a future date – then let the process run itself exactly as accountants would have done it.
  • Journal entries for asset creation and expense amortization are created automatically by the Sage Intacct add on.

In practice, the prepaid expense module doesn’t just make this particular accounting challenge easier – it makes it almost effortless since automation handles the most time and labor-intensive aspects while double checking every detail. And remember, it’s free. But first you need Sage Intacct. Contact Dean Dorton to explore what an implementation involves.

Philip Massey,
Software Services Director
pmassey@ddaftech.com • 919.796.5408

Filed Under: Accounting and Financial Outsourcing, Accounting Software, Services Tagged With: Accounting, Finance, Healthcare, Late, Provider Relief Fund, Provider Relief Fund Reporting, Provider Relief Funds

Article 04.8.2022 Dean Dorton

The Health Resources & Services Administration (HRSA) has announced an opportunity for providers who missed Reporting Period #1. This would apply to providers who have received letters requesting repayments of the provider relief fund payments they received. The Provider Relief Fund (PRF) Request to Report Late Due to Extenuating Circumstances process is intended for providers who were required to report in an applicable reporting period, but extenuating circumstances prevented them from submitting a report by the required deadline. (Information below obtained from HRSA website – https://www.hrsa.gov/provider-relief/reporting-auditing/late-reporting-requests)

  • Providers are strongly encouraged to complete their report in the PRF Reporting Portal by the deadlines indicated in the Post-Payment Notice of Reporting Requirements(PDF – 232 KB) in order to remain in compliance with the Terms and Conditions of the PRF payments.
  • Providers will have an opportunity to submit a Request to Report Late Due to Extenuating Circumstances if one or more of the extenuating circumstances described below apply.
  • Providers whose Request to Report Late Due to Extenuating Circumstances is approved will have the opportunity to complete their report in the PRF Reporting Portal.
  • Providers whose Request to Report Late Due to Extenuating Circumstances is denied will remain non-compliant with the Terms and Conditionsand will be required to return all funds to HRSA that were not reported on in the applicable reporting period. Review the Returning Funds webpage for additional details.
  • Providers may not utilize the Request to Report Late Due to Extenuating Circumstances process to request an opportunity to make edits or adjustments to an already submitted report. Contact the Provider Support Line at 866-569-3522 for assistance regarding revising a submitted report.

Please note that submission of a Request to Report Late Due to Extenuating Circumstances does not guarantee the request will be approved or that a provider will be allowed to enter the PRF Reporting Portal to complete and submit a report. Approval or denial of requests are subject to determination by HRSA.

Extenuating Circumstances

For each PRF Reporting Period, a provider may request an opportunity to complete their report after the reporting period deadline based on attestation that one of the following allowable extenuating circumstances applies at the time of the deadline:

  • Severe illness or death– a severe medical condition or death of a provider or key staff member responsible for reporting hindered the organization’s ability to complete the report during the Reporting Period.
  • Impacted by natural disaster– a natural disaster occurred during or in close proximity of the end of the Reporting Period damaging the organization’s records or information technology.
  • Lack of receipt of reporting communications– an incorrect email or mailing address on file with HRSA prevented the organization from receiving instructions prior to the Reporting Period deadline.
  • Failure to click “Submit”– the organization registered and prepared a report in the PRF Reporting Portal, but failed to take the final step to click “Submit” prior to deadline.
  • Internal miscommunication or error– internal miscommunication or error regarding the individual who was authorized and expected to submit the report on behalf of the organization and/or the registered point of contact in the PRF Reporting Portal.
  • Incomplete Targeted Distribution payments– the organization’s parent entity completed all General Distribution payments, but a Targeted Distribution(s) was not reported on by the subsidiary.

Process for Submitting a Late Report Request

  1. All providers who are considered non-compliant will be notified by HRSA after the conclusion of the Reporting Period and be given details on how to submit a Request to Report Late Due to Extenuating Circumstances.
  2. Providers who plan to submit a Request to Report Late Due to Extenuating Circumstances, but have not registered in the PRF Reporting Portal, should complete registration prior to submitting their request. Registration instructions are on the PRF Reporting webpage.
  3. Providers will submit a Request to Report Late Due to Extenuating Circumstances Form indicating the extenuating circumstance. Provider must indicate and attest to a clear and concise explanation related to the applicable extenuating circumstance; however, supporting documentation will not be required.
  4. Providers must attest to the truthfulness and accuracy of their extenuating circumstance(s) within the Form.
  5. Providers who submit a Request to Report Late Due to Extenuating Circumstances will be notified by HRSA if their request is approved or denied.
  6. Providers whose request is approved will receive a notification to proceed with completing the report. Providers will have 10 days from the date the notification is received to submit a report in the PRF Reporting Portal.

Late Reporting Timeframes

Reporting Period 1

  • Requests can be submitted from Monday, April 11 to Friday, April 22, 2022 at 11:59 p.m. ET

Lance Mann, CPA, CFE, CGMA
Assurance Director
lmann@deandortonstg.wpenginepowered.com • 502.566.1005

Filed Under: COVID-19, COVID-19 Industries, Healthcare, Industries Tagged With: Accounting, Finance, Healthcare, Late, Provider Relief Fund, Provider Relief Fund Reporting, Provider Relief Funds

Article 09.29.2021 Dean Dorton

The U.S. Department of Health and Human Services (HHS) is making $25.5 billion in new provider relief funding available to healthcare providers. The Health Resources and Services Administration (HRSA), an agency of HHS, administers the provider relief programs on behalf of HHS. HRSA is using a single application portal to make $8.5 billion in American Rescue Plan Act (ARP) Rural payments and $17 billion in Provider Relief Fund (PRF) Phase 4 General Distribution payments.

Providers must fall in to one of the following categories to be eligible:

a. Must have either directly billed, or owns (on the application date) an included subsidiary that has directly billed, their state/territory Medicaid program (fee-for service or managed care) or Children’s Health Insurance Program (CHIP) for health care-related services during the period of January 1, 2019 to December 31, 2020; or

b. Must be a dental service provider who has either directly billed, or owns (on the application date) an included subsidiary that has directly billed, health insurance companies or patients for oral health care-related services during the period of January 1, 2019 to December 31, 2020;

c. Must have either directly billed, or owns (on the application date) an included subsidiary that has directly billed, Medicare fee-for-service (Parts A and/or B) or Medicare Advantage (Part C) for health care-related services during the period of January 1, 2019 to December 31, 2020;

d. Must be a state-licensed/certified assisted living facility on or before December 31, 2020;

e. Must be a behavioral health provider who has either directly billed, or owns (on the application date) an included subsidiary that has directly billed, health insurance companies or patients for health care-related services during the period of January 1, 2019 to December 31, 2020;

f. Must have received a prior Targeted Distribution payment.

The application portal for Round 4 of provider relief funds opened this week. You can access it at the following website:

Application Portal

The deadline to complete the first step of the application process is no later than October 26, 2021.  Applications must undergo a number of validation checks before financial information is submitted so providers are encouraged to begin their application as soon as possible to ensure they are able to meet the deadline. Information on the documents and information needed to apply can be found in the resources following.

In order to streamline the application process and minimize administrative burdens, providers will apply for both programs in a single application, and HRSA will use existing Medicaid, Children’s Health Insurance Program (CHIP), and Medicare claims data in calculating portions of these payments.

A sample application form can be found here:

Sample Application Form

The payment methodology for Phase 4 payments can be found here:

Payment Methodology

In addition to this, HHS released a series of new FAQ’s related to the provider relief funds.  A complete and up to date list of all FAQ’s can be found here:

FAQ

Please let us know if we can help you with anything provider relief fund related.

Lance Mann, CPA, CFE, CGMA
Assurance Director
lmann@deandortonstg.wpenginepowered.com • 502.566.1005

Adam Shewmaker, FHFMA
Healthcare Consulting Director
ashewmaker@ddafhealthcare.com • 502.566.1054

Filed Under: COVID-19, COVID-19 Industries, Healthcare, Industries Tagged With: Accounting, Finance, Healthcare, Provider Relief Fund, Provider Relief Fund Reporting, Provider Relief Funds

Article 09.13.2021 Dean Dorton

The Health Resources and Services Administration (HRSA) announced two important updates last week related to Provider Relief Funds (PRF) and Reporting Requirements:


1.
An additional $25.5 billion of PRF distributions
  • $8.5 billion for providers that serve rural patients under the Medicare, Medicaid or Children’s Health Insurance Program (CHIP), and
  • $17 billion “for a broad range of providers who can document revenue loss and expenses associated with the pandemic.”
2. A 60-day grace period for meeting PRF reporting requirements
  • Implemented in order to help providers comply with PRF reporting requirements
  • Although HHS will not initiate collection activities or enforcement actions during the grace period, providers will still be out of compliance if reporting is not submitted by September 30, 2021
If you have questions about these two updates, please reach out to us for more information.

Questions? Contact Us!

Filed Under: Accounting & Tax, COVID-19, COVID-19 Industries, Healthcare, Industries Tagged With: Accounting, Finance, Healthcare, Provider Relief Fund, Provider Relief Fund Reporting, Provider Relief Funds

Article 07.16.2021 Dean Dorton

Last week we reported that the Health and Human Services (HHS) Provider Relief Fund (PRF) Reporting Portal is open. Recipients of Provider Relief Funds must report on their use of these funds received prior to June 30, 2020 by September 30, 2021.  Today, HHS released new guidance for the audit requirements for PRF spending and lost revenue.  As a reminder, below is a table describing the deadline for using your Provider Relief Funds (and more information regarding reporting can be found here):

Deadlines for Use of Funds

Payment Received Period (Payments Exceeding $10,000 in Aggregate Received) Deadline to Use Funds
Period 1 Payments received April 10, 2020 to June 30, 2020 June 30, 2021
Period 2 Payments received July 1, 2020 to December 31, 2020 December 31, 2021
Period 3 Payments received January 1, 2021 to June 30, 2021 June 30, 2022
Period 4 Payments received July 1, 2021 to December 31, 2021 December 31, 2022

Audit Requirements

The new guidance released today clarifies that entities with fiscal years ending June 30, 2021 will be the first entities required to include Provider Relief Funds on their Schedule of Expenditure of Federal Awards (SEFA) and thus, be subject to audit of these funds. Entities with other fiscal year ends will include some or all of their Provider Relief funds on their next fiscal year end.

For example, if you are a December 31, 2021 year end, then you will include all funds from Periods 1 and 2 (described above) in your SEFA and your December 31, 2022 SEFA will include periods 3 and 4. Below are the specific FAQs that released by HHS. 

When should Provider Relief Fund expenditures and/or lost revenue be reported on a nonfederal entity’s Schedule of Expenditures of Federal Awards (SEFA)? (Added 7/15/2021)

Non-federal entities will include Provider Relief Fund expenditures and/or lost revenues on their SEFAs for fiscal year ends (FYEs) ending on or after June 30, 2021. Please refer to the 2021 OMB Compliance Supplement for additional information.

How will a non-federal entity determine the amount of expenditures and/or lost revenues to report on its SEFA for FYEs ending on or after June 30, 2021? (Added 7/15/2021)

A non-federal entity’s SEFA reporting is linked to its report submissions to the Provider Relief Fund Reporting Portal. Therefore, the timing of SEFA reporting of Provider Relief Fund payments will be as follows:

  • For a FYE of June 30, 2021, and through FYEs of December 30, 2021, recipients are to report on the SEFA, the total expenditures and/or lost revenues from the Period 1 report submission to the Provider Relief Fund Reporting Portal.
  • For a FYE of December 31, 2021, and through FYEs of June 29, 2022, recipients are to report on the SEFA, the total expenditures and/or lost revenues from both the Period 1 and Period 2 report submissions to the PRF reporting porta Provider Relief Fund Reporting Portal l.
  • For FYEs on or after June 30, 2022, SEFA reporting guidance related to Period 3 and Period 4 will be provided at a later date.

As discussed in the FAQs above, we will need to wait for the FY2021 OMB Compliance Supplement to be released later this summer for more information.

Questions? Contact Us!

Filed Under: Audit and Assurance, COVID-19, COVID-19 Industries, Healthcare, Industries Tagged With: Accounting, Finance, Healthcare, Provider Relief Fund, Provider Relief Fund Reporting, Provider Relief Funds

Article 07.2.2021 Dean Dorton

As of the morning of July 1, 2021, the Health and Human Services (HHS) Provider Relief Fund (PRF) Reporting Portal is open. There are a few new resources of the portal that may help you through the Provider Relief Fund reporting process, which are also linked below. Further guidance was released to provide more detailed information on how to use the reporting portal.

Additional resources:

  • PRF Reporting User Guide
  • Portal FAQs
  • Portal Registration User Guide
  • Portal Worksheets (downloadable Excel workbook)  

Reporting Time Periods (Updates – June 2021)

Provider Relief Fund recipients are required to report in each Payment Received Period in which they received one or more payments exceeding, in the aggregate, $10,000, as indicated in the table. Reporting must be completed and submitted to Health Resources and Services Administration (HRSA) by the last date of the reporting time period. Provider Relief Fund recipients that do not report within the respective reporting time period are out of compliance with payment Terms and Conditions and funds may be subject to recoupment.

Payment Received Period (Payments Exceeding $10,000 in Aggregate Received) Reporting Time Period
Period 1 Payments received April 10, 2020 to June 30, 2020 July 1, 2021 to September 30, 2021
Period 2 Payments received July 1, 2020 to December 31, 2020 January 1, 2022 to March 31, 2022
Period 3 Payments received January 1, 2021 to June 30, 2021 July 1, 2022 to September 30, 2022
Period 4 Payments received July 1, 2021 to December 31, 2021 January 1, 2023 to March 31, 2023

LanceMann, CPA, CFE, CGMA 
Assurance Director
lmann@deandortonstg.wpenginepowered.com • 502.566.1005

Filed Under: COVID-19, COVID-19 Industries, Healthcare, Industries Tagged With: Finance, Healthcare, Provider Relief Fund, Provider Relief Fund Reporting, Reporting

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