On March 28, 2020, the Center for Medicare and Medicaid Services (CMS) posted to their Newsroom webpage a summary of an expansion of its accelerated and advance payment program for Medicare-participating health care providers and suppliers. The program expansion includes changes from the recently enacted Coronavirus Aid, Relief, and Economic Security (CARES) Act.
What is the purpose of Accelerated and Advance Medicare Payments?
Accelerated and advance Medicare payments provide emergency funding and address cash flow issues based on historical payments when there is a disruption in claims submission and/or claims processing.
When will Medicare act on payment requests?
Medicare will start accepting and processing Accelerated/Advance Payment Requests immediately. CMS anticipates these payments will be released within seven days of the provider’s request.
Who can request Accelerated/Advance Payments?
The payments can be requested by hospitals, doctors, durable medical equipment suppliers, and other Medicare Part A and Part B providers and suppliers.
What are the prerequisite criteria to make the request?
To qualify for accelerated or advance payments, the provider or supplier must:
Have billed Medicare for claims within 180 days immediately before the date of signature on the provider’s/ supplier’s request form,
Not be in bankruptcy,
Not be under active medical review or program integrity investigation, and
Not have any outstanding delinquent Medicare overpayments
Where can I locate the full details of this initiative?
The informational fact sheet on the accelerated/advance payment process and how to submit a request can be found here:
Ramping Up Virtual Project Management / Team Facilitation in Response to COVID-19? SunHawk Can Help
Our skilled leaders and professionals at SunHawk are experts at managing complex and time sensitive projects in a virtual on-line world. In these disruptive times, we can jump in to help your organization with regulatory and compliance management needs including:
· Organizing a short-term crisis management/response team,
· Facilitating or assume leadership of a new compliance initiative, or
· Provide leadership to an established team or add additional expertise.
Do you have work that needs to be done? Do you not have the immediate bandwidth or resources to see such projects to fruition given other priorities? We can help, please reach out to Jim Rough or James Rose for assistance:
SunHawk Consulting is a team of highly skilled and experienced subject matter experts in the Healthcare, Life Sciences, and Insurance Industries who understand that the client’s needs and budgets come first. SunHawk provides Crisis Management Response, Compliance Consulting, Disputes & Investigations, and Staff Augmentation services for Boards of Directors, internal/external legal counsel, company management and employees, special committees, bankruptcy trustees and receivers, and government agencies.