Q-Sights Key Insights – Volume 29

11/16/20220 -11/20/2020

Here are the key topics you need to know about COVID-19 this week. To help you stay abreast of the latest COVID-19 news, guidelines and best practices from Federal, State, National Health Agencies and QHR Health, visit the QHR Health COVID-19 Online Resource Center.

Supply Chain and Pharmacy

  • Preparation of receiving COVID-19 Vaccination – where to get supplies
    • Dry Ice – Airgas and Penguin Brand 
      • Contact Airgas to help determine the right quantity to fit the needs of your facility – call customer service at 800-329-0010
    • Pricing from Airgas 
      • Full HR11 price is $0.57 per pound plus a $30 delivery fee on route
      • 50 – 500-pound deliveries in 50-pound increments are $0.95 per pound plus Courier fees
        • It is vital we have a delivery location to provide the courier fee structure 
    • Thermosafe containers 
      • Pricing is direct with Thermosafe
    • Cryogenic PPE – (Gloves, Face shield, Apron, etc.)
      • Fisher Healthcare – Cryogenic gloves
      • Grainger – Cryogenic PPE
        • Water Resistant Mid Arm Length $128.57
        • Waterproof Mid Arm Length $205.94
        • Waterproof Safer Grip Mid Arm $216.17
        • Cryogenic PPE Kit $ 455.73
          • Currently Grainger is quoting a 20-30-day lead time
  • The QHR Health Supply Chain PLUS COVID-19 Warehouse Program fulfilled 32 facility requests this week and shipped 3,815 items
  • If you have not already been in contact with your state regarding the vaccine, it is highly recommended to contact them; as they are managing the vaccine distribution similar to how they handled Remdesivir
  • Please continue to monitor the COVID-19 resource center on the HealthTrust website, where you will find the latest information on the vaccine, treatments, and more. Pharmacy COVID-19 Resource Center
  • If you missed the COVID-19 Vaccine presentation hosted by HealthTrust you can see it here: COVID-19 Vaccine Update

Finance/Reimbursement/FEMA

  • HHS revises Provider Relief Fund uses
    • Capital equipment, facility capital expenditures and inventory can now be applied to PRFs received
    • Acquisitions must be related to COVID-19 pandemic prevention, preparation, and response
    • Prior guidance only allowed annual depreciation expense
    • Published updated FAQs on capital and inventory type expense:
      • Will the Provider Relief Fund limit qualifying expenses for capital equipment purchases to 1.5 years of depreciation, or can providers fully expense capital equipment purchases? (Added 11/18/2020)
        • Expenses for capital equipment and inventory may be fully expensed only in cases where the purchase was directly related to prevent, prepare for and respond to the coronavirus. Examples of these types of equipment and inventory expenses include:
          • Ventilators, computerized tomography scanners, and other intensive care unit- (ICU) related equipment put into immediate use or held in inventory
          • Masks, face shields, gloves, gowns
          • Biohazard suits
          • General personal protective equipment
          • Disinfectant supplies
      • Can providers include the entire cost of capital facilities projects as eligible expenses, or will eligible expenses be limited to the depreciation expense for the period? (Added 11/18/2020)
        • Expenses for capital facilities may be fully expensed only in cases where the purchase was directly related to preventing, preparing for and responding to the coronavirus. Examples of these types of facilities projects include:
          • Upgrading a heating, ventilation, and air conditioning (HVAC) system to support negative pressure units
          • Retrofitting a COVID-19 unit
          • Enhancing or reconfiguring ICU capabilities
          • Leasing or purchasing a temporary structure to screen and/or treat patients
          • Leasing a permanent facility to increase hospital or nursing home capacity
  • HHS clarifies determinations of lost revenue calculations
    • Adjustments to CY 2019 and CY 2020 should not be included in reported lost revenues
    • Any adjustment related to prior years services including but not limited to:
      • Medicare and Medicaid Cost Report Settlements relating to CY 2018 and prior years recorded in CY 2019 and 2020
      • Successful administrative appeals such as PRRB Hearings and other claims appeals
      • Other forms of prior period adjustments to the operating income
  • Trade Associations are actively working with HHS for additional clarifications and changes:
    • Cost reimbursement of COVID-19 expenses constitute reduction in COVID-19 expenses
    • Accounting for various State and Local supplemental payments
    • Requirement to reduce COVID-19 expenses for carrier reimbursements for services rendered
  • FEMA clarification:
    • FEMA will only allow reimbursement of COVID-19 expenses after reductions for carrier payments, PRFs and PPP loan forgiveness
    • HHS FAQ indicates otherwise, see page 21 of HHS FAQ guidance

Visit the QHR Health COVID-19 Online Resource Center site as often as you’d like as we are providing live news feeds from the CDC and CMS to keep all of us updated on the latest news. There is also a document library link located in the bottom right-hand corner of the page where information is being organized by subject categories.

If you need assistance, please reach out to your QHR Health representative.