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Additional Financial Relief for Providers of Medicare Beneficiaries



By Dr. Cheryl Ben-David

 

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:

www.cms.gov/files/document/Accelerated-and-Advanced-Payments-Fact-Sheet.pdf

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