24‐Hour Stay Rule: Bill LB 783

24‐Hour Stay Rule: Bill LB 783

 

LUTZ BUSINESS INSIGHTS

 

24‐HOUR STAY RULE: BILL LB 783

24-hour stay rule: bill lb 783

matt shonsey, tax director
jerad knott, tax shareholder

Those living in Nebraska and involved with ambulatory surgery centers (ASC) likely know about Bill LB 783, a major change to ASCs. Before this bill, ASCs in Nebraska had a length of stay requiring discharge the same day when surgery occurred. Now the bill allows patients to extend their stay to include an overnight stay.

Essentially, the bill matches Nebraska law with the national ASC law through the Centers for Medicare & Medicaid Services, with some minor differences. What does the new bill entail, and how will it affect Nebraskans?

 

How Long Will the Bill Extend ASC Stays?

LB 783 extends Nebraska’s length of stay requirements for ASCs from same working day to “within twenty-four hours after the introduction of anesthesia for persons for whom anesthesia is administered.” This allows patients to stay overnight as long as they are discharged within 23 hours and 59 minutes from receiving anesthesia.

This is a great alternative to an overnight stay in a hospital, which is a higher cost option. Since they began primarily in the 1990s, ASCs have brought quality medical care to individuals and gained a track record of having successful outcomes. With the passage of this bill, ASCs will be able to provide surgeons an opportunity to perform many approved procedures previously only performed in a hospital setting.

 

When Will the Bill Officially Become Law and How Do You Evaluate the Opportunity to Consider This?

On November 11, 2020, this bill became official. Nebraska ASCs desiring to take advantage of this law change will still need to review whether their facility is set up to accommodate this extended‐stay surgery; plus, do they have types of outpatient surgical cases requiring extended stays? If so, what equipment needs will this require; and finally, are the surgeons willing to bring these types of cases to the ASCs?

 

Continued Changes in Today’s Healthcare

The passage of this bill is another step in the process of making today’s healthcare more affordable, convenient, and friendly in a proven safe environment. The continued advances and improvements in the skill level of surgeons, surgical instruments and equipment, and pharmacy and anesthesia are allowing ASCs to become the preferred location for most outpatient surgical procedures today, and LB 783 has certainly expanded this opportunity. If you have any questions related to reviewing your opportunities to allowing your ASC to evaluate the possible benefit of utilizing LB 783, please contact us.

ABOUT THE AUTHOR

308.384.9910

mshonsey@lutz.us

LINKEDIN

3320 JAMES ROAD

SUITE 100

GRAND ISLAND, NE 68803

MATT SHONSEY + TAX DIRECTOR

Matt Shonsey is a Tax Director at Lutz with over 38 years of experience in taxation. He specializes in tax planning and consulting for individuals and businesses, as well as healthcare accounting and consulting.

AREAS OF FOCUS
  • Tax
  • Audit
  • Healthcare Accounting & Consulting
  • Estate & Gift Planning
  • Agriculture Industry
  • Healthcare Industry
  • Franchise Industry
AFFILIATIONS AND CREDENTIALS
  • American Institute of Certified Public Accountants, Member
  • Nebraska Society of Certified Public Accountants, Member
  • Certified Public Accountant
EDUCATIONAL BACKGROUND
  • BSBA, University of Nebraska, Kearney, NE
  • Graduate Studies in Accounting, University of Nebraska, Lincoln, NE
COMMUNITY SERVICE
  • Grand Island Community Foundation, Past Board Member
  • St. Francis Medical Center, Past Board Member
  • College Park of Grand Island, Past Board Member
  • Grand Island Economic Development Corporatin, Past Board Member
  • Community Health Charities, Past Council Member
  • Stuhr Museum Foundation, Past Council Member
  • Heartland Events Center - Major Gifts Committee, Past Co-Chair
  • College Park Campaigns - Major Gifts Committee, Past Co-Chair
  • 2005/2006 Heartland United Way Campaign, Past Co-Chair
  • State Volleyball Fundraising Committee, Past Chair Member
THOUGHT LEADERSHIP
Jerad Knott

308.398.1545

jknott@lutz.us

3320 JAMES ROAD

SUITE 100

GRAND ISLAND, NE 68803

JERAD KNOTT + TAX SHAREHOLDER

Jerad Knott is a Tax Shareholder at Lutz with over ten years of experience in taxation. He provides tax planning, research, compliance and consulting services to privately held companies.

AREAS OF FOCUS
AFFILIATIONS AND CREDENTIALS
  • American Institute of Certified Public Accountants, Member
  • Nebraska Society of Certified Public Accountants, Member
  • Certified Public Accountant
EDUCATIONAL BACKGROUND
  • BSBA, Hastings College, Hastings, NE
  • MBA, University of Nebraska, Omaha, NE
COMMUNITY SERVICE
  • Ashland City Council, Past Councilman
  • Ashland Planning Commission, Member
  • ClubRed (American Red Cross), Board Member
  • Project Extra Mile, Past Board Member

SIGN UP FOR OUR NEWSLETTERS!

We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

115 Canopy Street, Suite 200

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

Preparing & Reviewing Medicare Cost Reports

Preparing & Reviewing Medicare Cost Reports

 

LUTZ BUSINESS INSIGHTS

 

Preparing & Reviewing Medicare Cost Reports

preparing & reviewing medicare cost reports

This webinar covers important cost report preparation and review topics that can have a significant impact on Medicare reimbursement for your facility.

RECENT POSTS

SIGN UP FOR OUR NEWSLETTERS!

We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

115 Canopy Street, Suite 200

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

Rural/CAH COVID-19 Financial Overview & Accounting Update

Rural/CAH COVID-19 Financial Overview & Accounting Update

 

LUTZ BUSINESS INSIGHTS

 

Rural/CAH COVID-19 Financial Overview & Accounting Update

rural/cah covid-19 financial overview & accounting update

The COVID-19 public health emergency has impacted the healthcare industry in numerous ways. All healthcare providers, including rural providers such as Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs), have been on the forefront of battling the COVID-19 outbreak. In this complicated time, our goal is to provide an up-to-date overview of the various distributions/intent through the CARES Act and other COVID funding and to address common questions as to accounting and reporting requirements for these funds. In this presentation, Julianne Kipple and Paul Baumert discuss this topic and the potential impact for your organization.

RECENT POSTS

SIGN UP FOR OUR NEWSLETTERS!

We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

115 Canopy Street, Suite 200

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

Physician’s Compensation

Physician’s Compensation

 

LUTZ BUSINESS INSIGHTS

 

Physician's Compensation

physician’s compensation

As often as the healthcare world is changing, updating physician compensation agreements tends to be further down on the to-do list. Just how often is it necessary to evaluate and modify a physician compensation plan? Is your practice recruiting and retaining physicians by offering fair and competitive compensation? This webinar discusses how to examine your practice’s physician compensation plan, outline the various models of calculating and implementing physician compensation plans, and how to ensure the financial viability of the practice during this process. We also discuss how to align physician incentives and rewards while maintaining the core mission, vision, and values of the healthcare organization.

RECENT POSTS

SIGN UP FOR OUR NEWSLETTERS!

We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

115 Canopy Street, Suite 200

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

External Financial Statement Audit + Medicare Cost Report Best Practices

External Financial Statement Audit + Medicare Cost Report Best Practices

 

LUTZ BUSINESS INSIGHTS

 

External Financial Statement Audit + Medicare Cost Report Best Practices

external financial statement audit + medicare cost report best practices

The few months after a facilities’ fiscal year-end are always challenging. We have all been through the experience – at the time, we’ve all said “next year will be better” and “we will fix the bottlenecks”. Whether or not your facility has had success or not making progress in this area, this webinar will help create a checklist of ways to plan, prioritize, and complete items throughout the year and before the audit. In this presentation, Julianne Kipple and Chase Dudzinski discuss how to make the year-end process easier for your staff, more efficient for auditors and cost report preparers, and make your facility less prone to large audit adjustments and/or costly mistakes in reimbursements.

RECENT POSTS

SIGN UP FOR OUR NEWSLETTERS!

We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

115 Canopy Street, Suite 200

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850

Provider Relief Fund & Rural Health Clinic Reporting Requirements Update

Provider Relief Fund & Rural Health Clinic Reporting Requirements Update

 

LUTZ BUSINESS INSIGHTS

 

Provider Relief Fund & Rural Health Clinic Reporting Requirements Update

provider relief fund & rural health clinic reporting requirements update

Please note this information is updated through 11.9.2020. The reporting requirements are changing at a rapid pace – please continue to check for updates to the guidance as new information may change the information listed below:

Provider Relief Fund Reporting Requirements over $10,000

HHS released new/updated PRF FAQs on 10.28.2020 and then again on 11.2.2020. There is a significant amount of content added and implications for providers. We encourage providers and medical practices to review the new guidance in detail.

Highlighted FAQS:

  1. Page 3 – If a provider returns a Provider Relief Fund payment to HHS, must it also return any accrued interest on the payment? (Added 10/28/2020)
  2. Pages 8-9 – clarifies “health care-related expenses or lost revenues that are attributable to coronavirus” and outlines what expenses or lost revenues are considered eligible for reimbursement
  3. Page 16-18 – When reporting my organization’s other health care-related expenses attributable to coronavirus, how do I calculate the “expenses attributable to coronavirus not reimbursed by other sources”? (Added 10/28/2020)
  4. Page 18 – Do providers report total purchase price of capital equipment or only the depreciated value? (Added 10/28/2020)
  5. Page 19 – Can I use 2020 budgeted revenues as a basis for reporting lost revenues? (Added 10/28/2020)
  6. Page 20 – How does cost reimbursement relate to my Provider Relief Fund payment? (Added 10/28/2020)

Direct link to FAQs:  https://www.hhs.gov/sites/default/files/provider-relief-fund-general-distribution-faqs.pdf

Recommendations at this point:

  1. Recommendation to track provider/service lines changes between 2019 and 2020, but unsure yet if this will be factored into the lost revenue calculation
  2. Track expenses and ensure no double counting between programs – Be aware of the financial assistance received and various programs your practice received funding, track expenditures by fund.
  3. Start documentation and gathering of information for the reporting requirements – first reporting due 2/15/2021
  4. Review single audit implications if federal funds expended exceed the $750,000 threshold
  5. Review your “lost revenue” calculation; use actual year to date 2020 versus actual 2019.

Full text of Reporting Requirements: https://www.hhs.gov/sites/default/files/post-payment-notice-of-reporting-requirements-november-2020.pdf

* These final reporting requirements do not apply to:

  1. Nursing Home Infection Control distribution recipients
  2. Rural Health Clinic Testing distribution recipients
  3. Health Resources and Services Administration (HRSA) Uninsured Program reimbursement recipients

 

Rural Health Clinic (RHC) Distribution Reporting Requirements

A reminder to providers that the reporting portal is open for the $49,461.42 RHC testing distribution providers received from HHS starting back in May 2020. HRSA also updated its FAQs and clarified that reporting related to testing and spending must be reported monthly. The next deadline for reporting the October data is 11/30/2020. The PRF reporting requirements over $10,000 that are due 2/15/2021 do not apply to the RHC distribution.

RHC Reporting Deadlines

Monthly Data                                     Reporting Deadline

May – September 2020                  October 31, 2020

October 2020                                     November 30, 2020

November 2020                                December 31, 2020

December 2020                                 January 31, 2021

January 2021                                      February 28, 2021

 

HRSA FAQs – Rural Health Clinic COVID-19 Testing Program: https://www.hrsa.gov/rural-health/coronavirus/frequently-asked-questions#rhc

RHC Reporting Portal: https://www.rhccovidreporting.com/

Highlighted FAQs:

What information is required for RHC COVID-19 Testing Program reporting? (Added: 10/28/2020)

RHC COVID-19 Testing Program reporting includes basic information on the RHC organization, the number of and location of testing sites (active and inactive), information on the use of funds, the total number of tests conducted, and the number of COVID-19 positive tests. HRSA intends to use this information to evaluate the effectiveness of the program at an aggregate level. The reporting requirement does not include any personally identifiable, patient-level information.

How often do RHCs/TIN organizations need to update their information on RHCcovidreporting.com? (Added: 10/28/2020)

RHCs are required to provide information monthly.

What are permissible expenses under the $225 million Rural Health Clinic COVID-19 Testing Program payment? (Added: 5/20/2020)

Rural Health Clinic COVID-19 Testing Program funding may be used for COVID-19 testing and related expenses. As set forth in the Terms and Conditions (PDF – 223 KB), examples of related expenses include, but are not limited to, planning for implementation of a COVID-19 testing program, procuring supplies to provide testing, training providers and staff on COVID-19 testing procedures, and reporting data to HHS on COVID-19 testing activities. Further, the Rural Health Clinic COVID-19 Testing Program funds may be used for building or construction of temporary structures, leasing of properties, and retrofitting facilities as necessary to support COVID-19 testing.

RECENT POSTS

SIGN UP FOR OUR NEWSLETTERS!

We tap into the vast knowledge and experience within our organization to provide you with monthly content on topics and ideas that drive and challenge your company every day.

Toll-Free: 866.577.0780  |  Privacy Policy

All content © Lutz & Company, PC

OMAHA

13616 California Street, Suite 300

Omaha, NE 68154

P: 402.496.8800

HASTINGS

747 N Burlington Avenue, Suite 401

Hastings, NE 68901

P: 402.462.4154

LINCOLN 

115 Canopy Street, Suite 200

Lincoln, NE 68508

P: 531.500.2000

GRAND ISLAND

3320 James Road, Suite 100

Grand Island, NE 68803

P: 308.382.7850