Considerations for COVID-19 Accelerated and Advance Payment (CAAP) Recoupments
By Mandy MoriSenior Manager, Health Care Consulting Practice, Moss Adams
By Denise StarkManager, Health Care Consulting Practice, Moss Adams
The Medicare Accelerated and Advance Payments (AAP) program assists certain types of providers with advances on future claims to help with funding due to a disruption in claims submission or processing. With the passage of the Coronavirus Aid, Relief and Economic Security (CARES) Act, the Centers for Medicare and Medicaid Services (CMS) expanded the existing AAP program
on March 28, 2020, to include a broader group of Medicare Part A providers and Part B suppliers. Changes also included added benefits as well as extended repayment terms.
Now known as COVID-19 Accelerated and Advance Payments (CAAP), the revised program aims to increase cash flow to health care providers, physicians, and suppliers during the COVID-19 public health emergency (PHE). These advances are recouped
on remittances by Medicare Administrative Contractors (MACs).
Depending on when providers received the payments, they already experienced or will experience recoupments on their remittances. This article is an overview of key program details and items providers should consider with regards to the recoupments. Read article
Breaking Down Cybersecurity Measures
By Alex Adams
, Elite Account Executive
Parker Smith & Feek
In today’s ever-evolving cyber environment, hackers have become intrusion specialists with increasingly sophisticated ways of compromising your system’s integrity. Using social engineering and ransomware attacks, these bad actors have generated millions in revenue through Bitcoin ransom payments and tricking victims into voluntarily transferring funds. In response to the increase in these attacks, cyber insurance carriers have reacted in several ways, most commonly by requiring companies to implement multifactor authentication and strict call-back verification procedures to provide cyber coverage. There is a good reason for these requirements - they are extremely effective when implemented correctly. Read article
Children of the Covid
By Craig B. Garner
Garner Health Law Corporation
In the final act of Leoš Janáček’s Czech opera Její pastorkyna
, the body of a baby appears under the melting spring ice, disrupting the wedding of Laca and Jenufa. The nineteenth century Moravian village responds by punishing Jenufa’s stepmother, Kostelnica, for her heinous crime of infanticide. This tragic yet fitting end to Kostelnica, while seemingly boorish, serves as a reminder that within this small Central European village, there was a moral compass./br />
The historical frequency of infanticide is disturbing yet well documented. Writings before the fourth century include hundreds of references to infanticide of both legitimate and illegitimate children, actions that did not violate the law or public opinion. The fate of these children included river drowning, tossed into trenches or just left on the roadside or in the wilderness. Between the fourth and thirteenth centuries children faced institutional abandonment for months or even years, and the sale of children endured lawfully in Europe until the nineteenth century.
Along the way enlightenment in seventeenth century Europe shifted the child’s role. Adults recognized children were separate entities, albeit innocent, yet still in need of protection and education in society. While the child’s historical path has not always been linear, today social media replaced coal mines, and modern day’s version of enlightenment combines over-protection with a touch of self-entitlement, many of whom apprentice under the influence of an influencer.
Until now. Read article
New Health Plan Financial Reports for California, Ohio and Washington State
By David Peel
, Publisher and Editor
We recently updated our financial reporting for health plans in California, Ohio and Washington State. Click on the links below to see the numbers.