I’m retired, but this was my line of work, Sr Hospital Reimbursement analyst. I keep in contact with my boss and coworkers. In April CMS advanced my hospital where I worked (major huge hospital) $200 Million for COVID.
So they advance the payments, however, the hospital will have to settle up at end when they do their Medicare Cost report. Any differences will have to be paid back to CMS or paid to the hospital. So glad I’m retired. The audit and tracking is going to be nightmare with huge amount of hospital notes, documentation for payments, etc.
Wow! Someone who knows the intricacies and nuances of Medicare cost reporting, APC's, DRG's, outliers and Disportionate Share! I am blessed that I got out five years ago. The thought of trying to set up a workable ACO or global payment system and health problems drove me to the sidelines.