intructions for completing report of patient services revenue for diagnostic and treatment center

by Dr. Quincy Wisozk III 8 min read

Instructions for Completing Report of Patient Services Revenue …

27 hours ago Line 1 - Total Ambulatory Surgery Revenue Received: Enter total ambulatory surgery revenue received, including patient services revenue and other operating revenue and non-operating revenue received during the report month. Line 2 - Total Net Patient Services Revenue Received, including surcharges: Enter total net patient services revenue received during the report month, including surcharges (be sure to include grant revenue on … >> Go To The Portal


How should patient care-related revenue be reported?

Patient care-related revenue should be reported net of adjustments for all third party payers, charity care adjustments, bad debt, and any other discounts or adjustments, as applicable when reporting patient care-related revenue sources.

How should inpatient and outpatient services be modeled for revenue?

When accounting for a portfolio, an entity should use estimates and assumptions that reflect the portfolio’s size and composition. An important revenue modeling consideration here is that inpatient and outpatient services should be delineated into distinct models as appropriate.

Can reporting entities use budgeted revenues for provider relief fund payments?

Yes. When reporting use of Provider Relief Fund payments toward lost revenues attributable to coronavirus, Reporting Entities may use budgeted revenues if the budget (s) and associated documents covering calendar year 2020 were established and approved prior to March 27, 2020.

What does net patient services Revenue mean?

Net Patient Services Revenue. definition/assessability: In general, net patient services revenue shall mean all moneys received for or on account of hospital or medical services provided or related to patients whose purpose is the treatment or prevention of human illness, disease, injury or disability.

Columnar Descriptions

Column A - Description: This column itemizes total net patient services revenue received, including surcharges.

Columnar Descriptions

Column A - Non-Direct Pay Payors: Provides specific line descriptions of non-direct pay payors.

Summary Lines

Line 14 - Total Assessable Revenue, including surcharges: Sum Column B, Lines 9 through 13. This amount must equal the amount reported in Column D, Line 8 of the corresponding service period report.

What is net patient service revenue?

Net patient service revenue is one of the most important and highly scrutinized measures used to assess a healthcare entity’s financial performance. However, the accounting standards that healthcare providers must follow when recognizing revenue are changing. Organizations should understand the impact new recognition requirements will have and be prepared to implement them.

When is revenue recognition required?

15, 2017, including interim reporting period s within that reporting period. Early adoption is not permitted. All other entities must adopt the new guidance effective for annual reporting periods beginning after Dec. 15, 2018, and for interim periods within annual periods beginning after Dec. 15, 2019. Early adoption is permitted, but it can be no earlier than the effective date for public business entities.

What is the FASB revenue recognition standard?

The first option allows an organization to retrospectively apply the new revenue recognition standard to each prior reporting period presented.

What is the core principle of the new guidance?

The core principle of the new guidance is that an entity should recognize revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration the entity expects in exchange for those goods and services. The FASB has outlined five steps entities should follow to comply with the core principle.

What is the effect of the new standard on healthcare?

For many healthcare entities, because variable consideration is factored into the transaction price, the effect of the new standard could be a decrease in the revenue the entities report and in the amount of bad-debt expense they recognize.

When is the new guidance effective?

All other entities must adopt the new guidance effective for annual reporting periods beginning after Dec. 15, 2018, and for interim periods within annual periods beginning after Dec. 15, 2019. Early adoption is permitted, but it can be no earlier than the effective date for public business entities.

What is performance obligation?

In the standard, a performance obligation is defined as a promise to transfer to the customer a distinct good or service, or a bundle of distinct goods or services. Distinct is defined by whether the customer benefits from the good or service on its own or together with other readily available resources.

Do commercial organizations that do not submit their audit through the Federal Audit Clearinghouse get an extension to the submission due date for their audit?

Yes. Both commercial organizations and non-federal entities are granted a six-month extension to the submission of audits that have a fiscal-year end through June 30, 2021. As a reminder, audits are due 30 calendar days after receipt of the audit report or nine months after the end of the audit period – whichever is earlier.

A non-profit corporation has multiple subsidiaries, including a for-profit subsidiary, that are consolidated for financial reporting purposes. Can the Single Audit of the non-profit corporation include the expenditures of federal awards of the for-profit subsidiary?

Yes, the non-profit corporation can include the expenditures of federal awards of its for-profit subsidiary in its Single Audit.

Can my organization get an extension to the submission due date for Single Audits conducted under 45 CFR Part 75?

Yes. As a reminder, audits are due 30 calendar days after receipt of the auditor report or nine months after the end of the audit period – whichever is earlier.

Will HHS release separate requirements for recipients of the Skilled Nursing Facility (SNF)and Nursing Home Infection Control Distribution payments?

No. HHS included requirements on how recipients of the SNF and Nursing Home Infection Control Distribution payments will report on these funds in the June 2021 Post-Payment Notice of Reporting Requirements.

Will HHS provide guidance to certified public accountants and those organizations that providers will rely on to perform audits?

The only guidance HHS provides to auditors is through the Office of Management and Budget Compliance Supplement.

Are Provider Relief Fund payments to commercial (for-profit) organizations subject to Single Audit in conformance with the requirements under 45 CFR 75 Subpart F?

Commercial organizations that expend $750,000 or more in annual awards have two options under 45 CFR 75.216 (d) and 75.501 (i): 1) a financial related audit of the award or awards conducted in accordance with Generally Accepted Government Auditing Standards; or 2) an audit in conformance with the requirements of 45 CFR 75.514 (Single Audit).

The Rural Health Clinic (RHC) COVID-19 Testing Program requires that recipients report payments received separately from the payment (s) received as part of the Provider Relief Fund. How do RHCs determine whether they received payment as part of the RHC COVID-19 Testing Program?

RHCs that were issued a payment with the descriptor “HHSPAYMENT” or “COVID*RuralHealthTestingPmt*HHS.GOV” on or around May 20, 2020, June 9, 2020, December 7, 2020, and/or January 20, 2021, received these payments as part of RHC COVID-19 Testing Program.