fbpx

< Back to Thought Leadership

PRF Payments: What You’ll Be Able to Keep

PRF Weekly Update

The past few weeks have been quiet with no new information from HHS regarding the Provider Relief Fund (PRF) and reporting requirements. The last FAQs were posted in late January as we await the opening of the reporting portal. This week we wanted to focus on determining how much of your organization’s PRF payments you will be able to keep.

As a reminder, your organization can go and register with the reporting system through HHS and we recommend you begin this process while waiting for reporting to start.

Weekly Insights

We’ve had numerous conversations this year with clients trying to determine how much of their PRF payments they will get to keep, and how much they will have to report from 1/1/21 – 6/30/21.

Most are following the process described by HHS in their reporting guidance, which in a simplified form looks like this:

 

PRF Payments Calculations

The problem with this method, is that the first step, accumulating COVID-19 expenses is the most tedious, difficult and frustrating parts of the entire calculation. Plus, until you complete the entire calculation, you won’t know if all your work on accumulating COVID-19 expenses was enough, or if you have to go back and look for more costs.

If we do some simple math and change the equation, we can work backwards and get something that looks like this:

 

PRF Payments Calculations

By starting your internal work this way, you can start with the inputs that should be easiest for you to accumulate (total PRF payments, lost revenues calculations).  Plus, this has the added benefit to show you the amount of COVID-19 expenses you will need to support your PRF payments and immediately let you know how much effort your organization needs to expend. Now you know if you need to find $500,000 of COVID-19 expenses, or $5M under this method and better project COVID-19 expenses for the next reporting period to support remaining unused payments.

If you haven’t yet done any internal calculations, or you’re struggling to understand how much time to put into accumulating COVID-19 expenses, we recommend you start with this different approach and build up the calculation to figure out your total COVID-19 expenses at the end of the process.

To download a PDF version of this blog post, click here. If you have any questions, contact your local Blue &Co. Advisor or Michael Alessandrini.

Blue & Co., LLC Announces New Partnership With Vsimple | Vsimple and Blue and Co logo

Blue & Co., LLC Announces New Partnership With Vsimple

CARMEL, Ind. (May 5, 2022) – Blue & Co., LLC is excited to announce our new partnership with Vsimple, a workflow management software company based in New Albany, IN.  Blue & Co and Vsimple will be working closely together to address the workflow and process improvement challenges of manufacturers throughout the Midwest. “At Blue & […]

Learn More
Proposed Rule FY 2023 for Skilled Nursing Facilities

Proposed Rule FY 2023 for Skilled Nursing Facilities

It is that time of year again! The Center for Medicare and Medicaid Services (CMS) has issued the proposed rule that would update Medicare payment policies and rates for the fiscal year (FY) 2023’s Skilled Nursing Facility (SNF) Prospective Payment System (PPS). The Patient Driven Payment Model (PDPM) was implemented on October 1, 2019. This […]

Learn More
Coverage Scheduling Solutions for Physician Practices and Hospital Systems

Scheduling Solutions for Clinician Work-Life Balance

One of the most challenging conversations in any multi-physician practice or specialty-based hospital employed group is about how to create a fair distribution of on-call and/or inpatient hospital service coverage while balancing the duties of an outpatient practice. The COVID-19 pandemic has contributed to clinician burnout, and physicians and Advanced Practice Providers (APPs) place significant […]

Learn More