Are you getting your checks from the Government?

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drusso

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I'm so happy that the Administration has come through to support doctors in this difficult time. I told my MA she can work for one more month.



  • Providers will be paid via Automated Clearing House account information on file with UHG or the Centers for Medicare & Medicaid Services (CMS).
    • The automatic payments will come to providers via Optum Bank with "HHSPAYMENT" as the payment description.
    • Providers who normally receive a paper check for reimbursement from CMS, will receive a paper check in the mail for this payment as well, within the next few weeks.
  • Within 30 days of receiving the payment, providers must sign an attestation confirming receipt of the funds and agreeing to the terms and conditions of payment. The portal for signing the attestation will be open the week of April 13, 2020, and will be linked on this page.
  • HHS' payment of this initial tranche of funds is conditioned on the healthcare provider's acceptance of the Terms and Conditions - PDF, which acceptance must occur within 30 days of receipt of payment. If a provider receives payment and does not wish to comply with these Terms and Conditions, the provider must do the following: contact HHS within 30 days of receipt of payment and then remit the full payment to HHS as instructed. Appropriate contact information will be provided soon.
 
We got ours direct deposit.
 
yes ...lots about this in other thread
 
How are payment distributions determined
  • Providers will be distributed a portion of the initial $30 billion based on their share of total Medicare FFS reimbursements in 2019. Total FFS payments were approximately $484 billion in 2019.
  • A provider can estimate their payment by dividing their 2019 Medicare FFS (not including Medicare Advantage) payments they received by $484,000,000,000, and multiply that ratio by $30,000,000,000. Providers can obtain their 2019 Medicare FFS billings from their organization's revenue management system.
  • As an example: A community hospital billed Medicare FFS $121 million in 2019. To determine how much they would receive, use this equation:
 
Your MA can work One more month? I’m sensing sarcasm.
 
Nothing .., yet


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We got ours yesterday. Every bit helps. SBA loan made it through underwriting Monday.
 
To caclulate your tradititional
Medicare revenue 2019

Trad Medicare gross rev= (stimulus X 480B)/30B

Remember this excludes patient portion/supplemental insurance/Medicare advantage
 
Do we still get this if we are employed as W2 for the Hospital? I'm going to guess probably not?
 
No, it goes to your employer, the hospital. It is not just your physician fees, it is the gross revenue from the facility fees also. So do a ton of devices? Your hospitals stimulus will be artificially higher due to your work.
 
No, it goes to your employer, the hospital. It is not just your physician fees, it is the gross revenue from the facility fees also. So do a ton of devices? Your hospitals stimulus will be artificially higher due to your work.

Is it possible to break down (by each physician in an employed group practice) what the hospital gets?


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Is it possible to break down (by each physician in an employed group practice) what the hospital gets?


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Yes and no...

the payment will be for each TIN they use to deal with Medicare. So could be for each physician, the physician group, or the whole organization depending on their structure.
However, the hospital knows your traditional Medicare revenue for 2019 for both clinic and facility.

(so that number/448B) x 30B is your share of the stimulus
 
No, it goes to your employer, the hospital. It is not just your physician fees, it is the gross revenue from the facility fees also. So do a ton of devices? Your hospitals stimulus will be artificially higher due to your work.

You can ask your employer to share with you pro-rata based upon your enterprise value.
 
This will end up being pretty interesting If they try to withhold bonuses or cut salaries. Good to know. Any idea what this translates to into dollars for a middle of the road busy pain doc. Obviously great variability’s but I’m curious if there’s some ballpark number
 
I’m mostly medicare and all HOPD. Not factoring in clinic, minor procedures , imaging, pt, ortho i did everything but the surgery on...

it will be over $400k stimulus on just the major procedures.
 
But I do a lot of devices. It is basically $68,000 stimulus per $1M gross Medicare revenue. Stim implant gross $28,000 and vflex gross $15,000 excluding the physician fee and the anesthesia fee and you can see how this escalates quickly.
 
It looks like someone has been busy with their calculator.


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I can’t help it. I am like this about lots of things. If you guys only knew me in “real life” you would get the full effect. @gdub25. LOL
 
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I’m mostly medicare and all HOPD. Not factoring in clinic, minor procedures , imaging, pt, ortho i did everything but the surgery on...

it will be over $400k stimulus on just the major procedures.
So your gross medicare was 6.5 million?
 
Yes, lots of devices. And I am rolling into it the surgeon (me) and anesthesia fees so pumping it up a little bit. And remember this is gross revenue so the 20-22k device cost is a non factor.
 
I can’t help it. I am like this about lots of things. If you guys only knew me in “real life” you would get the full effect. @gdub25. LOL

Yeah, I can attest to this attention to detail and always having a finger on the pulse, makes for a great colleague and someone to bounce ideas off of!
 
So then why or how would any hospital or really any employer justify paycuts?
 
So then why or how would any hospital or really any employer justify paycuts?

They’re betting on us not knowing the details as usual. All I know is how many wRVUs I bring in. I have no clue how much actual revenue I bring in as that isn’t shared with me. My medical director gets group numbers but nothing individual that I’m aware of.


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They’re betting on us not knowing the details as usual. All I know is how many wRVUs I bring in. I have no clue how much actual revenue I bring in as that isn’t shared with me. My medical director gets group numbers but nothing individual that I’m aware of.


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If the money is coming from Medicare/HHS it might be a Stark violation to share it with you.
 
If the money is coming from Medicare/HHS it might be a Stark violation to share it with you.
It doesn’t have to be shared with us per se, it could just be where they absolve any missed metrics. Most hospital ministrations are not stupid. They typically understand who makes them their money. If they aren’t stupid/shortsighted, they won’t try to hide this information and hold the loss of productivity against us.

The smartest move would be to remove March and April from productivity requirements and average the year based on a 10 month cycle or something like that. But we are learning a lot about corporate medicine from this epidemic. It will be interesting to say the least. I will let you guys know what happens to me LOL
 
Agreed, I don’t expect them to “give me my share” per se. I do expect for my rightfully earned 1st quarter bonus (not too much money) to be paid, and for my base salary to be paid for the 2nd quarter.
 
If the money is coming from Medicare/HHS it might be a Stark violation to share it with you.
Not a stark violation. We share the info with all our 160 providers on a real time bases. We are getting the money from HSS and sharing the 6.2% with everyone.
 
If you switch jobs last fall, who gets your portion? 2020 or 2019 employer?
 
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