Provider Relief Fund Audits Coming

February 23, 2021 | Rivkin Rounds Staff | COVID-19 | Legislation and Public Policy | Medicare and Medicaid

A February 15 article in Part B News, “Provider Relief Fund audits coming; pick your method and keep good records,” discussed the Provider Relief Fund (PRF) authorized under the Coronavirus Aid, Relief, and Economic Security Act (CARES Act). Rivkin Radler’s Bob Iseman was quoted in the article.

Healthcare providers who received PRF funds were required to attest to the PRF terms and conditions, including that the funds be used to make up for revenue losses incurred as a result of COVID-19. Recipients of larger amounts will eventually be required to submit documentation to prove their eligibility, and it is likely that many providers will be audited by the Health Resources and Service Administration or the Office of Inspector General of the Department of Health and Human Services. In determining the amount of a provider’s COVID-related losses, Bob said, “If a reasonable mind could find a connection between COVID and the item of expense should be allowed, even if the regulator questions it — unless it is an irrational position, meaning one that no reasonable person could support — I think the expense or debt should be accepted.”

 

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