Executive Compensation Limits under the ARRA: A Sign of Things to Come for Not-for-Profit Healthcare Organizations?

Posted by Jason Greis on March 15, 2009 under Articles | Be the First to Comment

The American Reinvestment and Recovery Act of 2009 (“ARRA”), which became law on February 19, 2009, restricts executive compensation for certain entities participating in the federal government’s Troubled Asset Relief Program (“TARP”).  Generally, these restrictions limit the types and value of certain compensation paid to executives and other highly compensated individuals in these entities.  The TARP entities are required to abide by these restrictions as a condition of receiving federal funds under the ARRA.  Several of the specific limitations on executive compensation in the ARRA are as follows: Read More...

Recovery Audit Contractor (RAC) Frequently Asked Questions

Posted by Jason Greis on March 14, 2009 under Articles, Presentations | Be the First to Comment

I have attached a list of Frequently Asked Questions from the  March 3, 2009 McGuireWoods and Marsh webinar presentation entitled “RACs are Here: Are You Prepared?”  Many LTACHs listened in and asked questions regarding how to prepare for a RAC audit, how and when to respond to a RAC request for medical records or a demand letter, and how and when to appeal a RAC overpayment determination.  Please also click here for a copy of the PowerPoint slides from the presentation.    Read More...

GreisGuide to LTACHs Newsletter (March 2009)

Posted by Jason Greis on March 8, 2009 under eNewsletter | Be the First to Comment

• The American Recovery and Reinvestment Act Makes Technical Corrections to the MMSEA Favorable to LTACHs;
• $15 Billion in Federal Relief Spending to Become Immediately Available for State Medicaid Programs;
• “Heard it Through the Grapevine”–EBITDA Multiples Appear to be Down for Minority Interests in LTACHs;
• Employee Free Choice Act (EFCA) Update:  Me Thinks Thou Dost Protest;
• IRS Report Provides Insight into Community Benefit and Executive Compensation Practices of Tax-Exempt Hospitals;
• News Posted in February; and
• Upcoming Events

Please click here for a .PDF copy of this Newsletter. Read More...

“Heard it Through the Grapevine”—EBITDA Multiples Appear to be Down for Minority Interests in LTACHs

Posted by Jason Greis on under Articles, Industry News | Be the First to Comment

Over the past few months, a growing number of LTACHs have had an increasingly difficult time accessing credit markets and obtaining capital necessary to continue operations and pay staff and key vendors.  Many LTACHs are facing a “perfect storm” of reimbursement and credit woes, including (i) decreased and/or delayed Medicaid reimbursement; (ii) a payor mix that is shifting away from privately insured patients; (iii) growing bad debt; (iv) small operations size that limits economies of scale; (v) increased competition from new market entrants; (vi) increasing union organizing activities; (vii) decreasing reimbursement for key ancillary services; (viii) increasing payroll expenses; and (ix) increasing insurance costs.  Read More...

11 Key Concepts from the Stark Law

Posted by Jason Greis on March 6, 2009 under Whitepapers | Be the First to Comment

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Medicare Recovery Audit Contractors (RACs): What Providers Need to Know and How to Prepare

Posted by Jason Greis on March 4, 2009 under Articles, Whitepapers | Be the First to Comment

Success of the RAC Demonstration Project in Recouping Overpayments to Medicare Providers Leads to National Program Expansion. Read More...