ERC dollars on the table

By Catherine Lightfoot, CPA, CHBC, Director of Healthcare, EEPB The Consolidated Appropriations Act of 2021 held many tax relief breaks to continue supporting businesses as they navigate through the COVID-19 economy. What I want to focus on here is that even though the Act references 2021, a good portion of the potential savings is applicable to 2020. Let us review some history and work through the updates. The COVID-19 relief packages were based on a...

Vaccine management to test healthcare providers

By Ketan Patel, Advisory Principal, Healthcare, KPMG COVID-19 vaccines are starting to make their way to healthcare personnel, first responders and residents of long-term care facilities in stages to mitigate exposure risk. The process of getting people vaccinated, however, is fraught with complexity in one of the largest public health undertakings in the modern era as manufacturers ramp up production to reach thousands of doctors, nurses, EMTs and allied professionals. Programs needed to support successful...

What Congress gives, the IRS can take away

By Catherine Lightfoot, CPA, CHBC, Director of Healthcare at EEPB, and T. Brett Mach, J.D., Atty, Director at EEPB InnovaTax 2020 brought many things no one expected: a pandemic, economic lockdowns, and government bailouts. 2021 is offering hope to many in terms of a vaccine and the promise of re-opened economies. Hope for 2021 aside; the bailout may bring some surprises for taxpayers for those who took advantage of them, especially those in the service...

Social determinants of health can weigh on finances in value-based models

BY Ketan Patel, Advisory Principal, Healthcare, KPMG   Can a produce store and better schools in a poor neighborhood reshape the trajectory of healthcare? Social determinants of health are one of the biggest buzzwords in healthcare. It’s a buzzword with real-life consequences, however, pertaining to how poverty, housing, education, pollution, and neighborhood characteristics can affect health. Health disparities between the richest and poorest ZIP codes in the city can mean a 10-year difference in average...

Financial footing in a COVID-19 world

By Catherine Lightfoot, CPA, CHBC, Director of Healthcare at EEPB If we have learned anything about 2020, it should be that normal for can quickly change.  How businesses review practices, alter operations, and shift strategies will require a different focus as we close 2020.  Here are three areas that require a different or intensified approach.  Understand Reportable Income This year brought Economic Disaster Loans (EIDL), the Paycheck Protection Program (PPP), and Provider Relief funds (PRF). ...

CARES Act benefits have limited duration

By Ketan Patel, Advisory Principal, Healthcare, KPMG The Coronavirus Aid, Relief, and Economic Security Act (CARES Act) packaged financial and regulatory relief for healthcare providers to address a major health emergency, but as we approach the end of 2020, some provisions are ending. Harris County health officials said the Houston metropolitan area is dealing with 16,373 active cases and 1,389 of the 108,819 confirmed cases, as of Sept. 3. Officials describe the state of COVID-19...

Coding changes and here come the audits

By Catherine Lightfoot, CPA, CHBC, Director of Healthcare at EEPB   While nobody could have expected 2020 to be such an interesting year, most practices are settling in with the function of Personal Protective Equipment (PPE) and starting the forgiveness applications for their Patient Payroll Protection loans (PPP). Let me remind you of the original P acronym, Patients over Paperwork, that started in 2017 and continues to drive changes out of CMS. Through “Patients over...

Emerging technologies can aid with PPE, medicine supply issues

By Arun Ghosh, Advisory Principal, U.S. Blockchain Leader, and Ketan Patel, Advisory Principal, Healthcare, KPMG Emerging technologies, such as analytics and blockchain, that are helping healthcare providers navigate supply chain issues regarding personal protection equipment (PPE) and medications that have affected Houston and different areas in the country, especially as new cases of COVID-19 spike. As healthcare organizations continue to struggle with coronavirus (SARS-COV-2), questions remain about the growing number of cases and how supplies...

CARES ACT Tax Provisions can lower what you are paying now

By Catherine Lightfoot, CPA, CHBC, Director of Healthcare at EEPB   SBA loans, EIDL grants, PPP loans and telehealth are some of the many new programs provided by the CARES Act. The continuous updates to change and alter the understanding of these programs have provided a fair degree of stress.  In this turmoil, it could have been easy to miss some other provisions of the CARES Act that might be very important to your tax...

Providers need to get finances in order post-COVID-19

By Ketan Patel, Advisory Principal, KPMG Healthcare   Barring a rebound surge in COVID-19 cases, healthcare providers have stalled elective – and not so elective surgeries – to control the spread of coronavirus in March and April. This has strained finances at many healthcare providers to a point where they are borrowing, drawing from foundation funds or other sources of cash to continue.   The COVID-19 peak was expected in Harris County the week of...

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