COVID 19: New and Updated Information and Resources
NJAASC has curated authoritative information and a list of resources for our Membership’s reference. We will continue to update this as more information becomes available.


PAST COVID E-BLAST HAVE BEEN ARCHIVED DUE TO SPACE RESTRAINTS AND TO KEEP THINGS CURRENT. 
TO VIEW PREVIOUS E-BLASTS, CLICK HERE

PLEASE RESPOND- COMPLETE THE NJAASC TESTING ISSUES DATA TOOL- 6/1/20
We sent out a data collection/reporting tool this AM to all centers.
Please fill it out and return.
 
This is extremely important, as we need a lot of hard data to be able to use to show the Department that in our opinion testing is not working the way it should, or they expected.
                             https://conta.cc/2XfDAQ0

PPE & STAFFING REPORTING FOR ASC GUIDELINES- 6/1/20
The Department is going to use a survey for reporting PPE & Staffing, as opposed to sharing the hospital portal, see below:
We will use a novi survey. We found that there have been too many errors from other facilities entering data on that portal. We should have the survey ready by mid-week. And we can work on frequency and making sure we have all the emails for each facility to log in.’
 
ALL NON-MEMBER NJAASC CENTERS, PLEASE FORWARD A CORRECT CONTACT E-MAIL TO US .
 
More to come.

HHS Provides Guidance on Balance Billing Restriction to Retain Provider Relief Payment - 6/1/20
The Department of Health & Human Services (HHS) has issued guidance on the balance billing restriction to which providers must agree in order to keep their Provider Relief Fund grant payments. The guidance, which clarifies that a balance billing prohibition applies only to treatment of patients for a diagnosis of COVID-19 even without a positive test, is contained in an updated  Frequently Asked Questions document  (FAQs) linked on the HHS Provider Relief Fund  webpage .

The Terms and Conditions to which providers must attest in order to keep both the first and second round of Provider Relief payments require that for care for a presumptive or actual case of COVID-19, the Recipient must certify that the practice “will not seek to collect from the patient out-of-pocket expenses in an amount greater than what the patient would have otherwise been required to pay if the care had been provided by an in-network Recipient.” Questions have been raised regarding the definition of a “presumptive” case of COVID-19, i.e., whether the ban on balance billing applies to all patients and/or all care. The source of the confusion stems from one of the Terms and Conditions, which make providers eligible for grant payments only if they did not balance bill for patients treated after January 31, 2020, with “possible” or actual cases of COVID-19 and HHS previous guidance that HHS broadly views every patient as a “possible” case of COVID-19.
To continue reading this Alert on Balance Billing Restriction, click  here .

HHS Issues Guidance on Calculation of Provider Relief Fund Payments and Handling Suspected Overpayments/Underpayments - 6/1/20
In addition to the first Provider Relief Fund payments that providers received automatically during the week of April 10, 2020, HHS began offering on April 24, 2020, a second round of Provider Relief payments for which most providers would need to submit an application. HHS explains in its updated  Frequently Asked Questions  how the second payment amount is calculated. (Some of you may have noticed that a calculation briefly appeared on the Provider Relief Fund Attestation Portal a couple of weeks ago but was taken down.) The purpose of the second payment is to augment a provider’s initial payment so that the total of the two payments combined would be proportional to the provider’s share of 2018 net patient revenue from all sources. HHS clarifies that the allocation methodology is designed to provide relief to providers (who bill Medicare fee-for-service) with at least 2% of that provider’s net patient revenue regardless of the provider’s payer mix. Payments are determined based on the lesser of a) 2% of a provider’s 2018 (or most recent complete tax year) net patient revenue, or b) the sum of incurred losses for March and April which a provider must report in the attestation for the first payment. 
To continue reading this Alert on Calculation of Provider Relief Fund Payments, click  here .

HHS Issues Press Release on Timeline to Apply for Second Relief Payment - 6/1/20
HHS issued a press release on May 20, 2020, reminding providers that they have until June 3, 2020 to apply for the second payment from the Provider Relief Fund. The press release states that all providers who automatically received the second payment prior to 5:00 p.m. on April 24, 2020 must submit by June 3rd their tax forms or financial statements to HHS via the General Distribution Portal. (The automatic payments were sent to providers who had cost reports on file with CMS). For those providers who did not automatically receive a second payment, submission of tax forms or financial statements will serve as an application for the second payment. Providers who do not submit revenue information by June 3rd will not be eligible to receive the additional payment.

AMBULATORY ASSESSMENT LEGISLATION -5/29/20
Here is the draft of the legislation-A4201 . It is co-sponsored by Assemblymen Greenwald and Conaway. It will be introduced during the next quorum call.
 
As I stated yesterday, it is asking for a nine month postponement for the June 15 th  installment. I doubt that will happen, the Governor will probably not go for that. I would expect it to get negotiated down to 90-120 days, which hopefully would be palatable to the Governor.  

NJAASC MEMBER VENDOR PHARMACY ANNOUNCES TESTING AVAILABLE AT THEIR LOCATION - 5/29/20
NJAASC vendor member Devines Pharmacy has announced that they will be doing COVID testing at their Edison location. Learn more .

PPP Update: Loan Review Procedures - 5/29/20
The Small Business Administration (SBA) recently issued a regulation titled  “SBA Loan Review Procedures and Related Borrower and Lender Responsibilities”  under the Paycheck Protection Program (PPP). Here are the key takeaways:
  • For loans the SBA reviews, it may review borrower eligibility, loan amounts and use of the proceeds, and the loan forgiveness amount.
  • The SBA may conduct its review up to six years after the date the loan is forgiven or repaid in full.
  • The borrower’s failure to respond to the SBA’s inquiry during an audit may result in the determination that the borrower was ineligible for a PPP loan or loan amount, or for loan forgiveness.
  • If the SBA determines that the borrower is ineligible for the PPP loan, it will direct the lender to deny the loan forgiveness application. If the SBA determines that the borrower is ineligible for the loan amount or loan forgiveness amount claimed by the borrower, the SBA will direct the lender to deny the loan forgiveness application in whole or in part, and may seek repayment of the outstanding loan balance and other remedies.
  • The SBA will issue a regulation providing an appeal of the SBA’s determination that the borrower is ineligible for a PPP loan or ineligible for the loan amount or forgiveness amount.

Questions? Contact Jeff Shanton at  jshanton@jssurgctr.com